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By electronic submission Docket ID: USTR-2018-0037 Chair of the Special 301 Committee Office of the United States Trade Representative Washington, D.C. BIOTECHNOLOGY INNOVATION ORGANIZATION 2019 SPECIAL 301 SUBMISSION

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Page 1: BIOTECHNOLOGY INNOVATION ORGANIZATION 2019 SPECIAL … · The Biotechnology Innovation Organization (BIO) appreciates the opportunity to participate in the 2019 Special 301 Review:

By electronic submission

Docket ID: USTR-2018-0037

Chair of the Special 301 Committee

Office of the United States Trade Representative

Washington, D.C.

BIOTECHNOLOGY INNOVATION ORGANIZATION

2019 SPECIAL 301 SUBMISSION

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Table of Contents

PRIORITY FOREIGN COUNTRY .......................................................................................... 10

Malaysia .................................................................................................................................... 10

PRIORITY WATCH LIST ........................................................................................................ 13

Algeria........................................................................................................................................ 13

Argentina ................................................................................................................................... 14

Brazil .......................................................................................................................................... 16

Canada ....................................................................................................................................... 19

Chile ........................................................................................................................................... 21

China .......................................................................................................................................... 23

Colombia ................................................................................................................................... 28

India ........................................................................................................................................... 30

Indonesia ................................................................................................................................... 34

Japan.......................................................................................................................................... 36

Russia ......................................................................................................................................... 39

Saudi Arabia .............................................................................................................................. 41

South Korea ............................................................................................................................... 42

Thailand ..................................................................................................................................... 44

Turkey ........................................................................................................................................ 46

WATCH LIST ............................................................................................................................. 48

Australia .................................................................................................................................... 48

Egypt .......................................................................................................................................... 50

European Union ........................................................................................................................ 51

Mexico ....................................................................................................................................... 53

United Arab Emirates ................................................................................................................ 55

United Kingdom......................................................................................................................... 55

CONCLUSION ........................................................................................................................... 56

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I. OVERVIEW OF BIOSCIENCE INNOVATION INDUSTRIES

The Biotechnology Innovation Organization (BIO) appreciates the opportunity to participate in

the 2019 Special 301 Review: Identification of Countries under Section 182 of the Trade Act of

1974: Request for Public Comment and Announcement of Public Hearing. We hope our

contribution will assist the United States Trade Representative’s (USTR) efforts in preserving

strong intellectual property protections for United States’ companies internationally.

BIO is a non-profit organization with a membership of more than 1,000 biotechnology

companies, academic institutions, state biotechnology centers, and related organizations in

almost all 50 States and a number of foreign countries. BIO’s members research and develop

health care, agricultural, industrial, and environmental biotechnology products. The U.S. life

sciences industry, fueled by the strength of the U.S. intellectual property (IP) system, has

generated hundreds of drug products, medical diagnostic tests, genetically engineered crops, and

environmentally beneficial products such as renewable fuels and bio-based plastics.

The vast majority of BIO’s members are small and medium sized enterprises that currently do

not have products on the market. As such, BIO’s members rely heavily on the strength and scope

of their IP to generate investments needed to commercialize their technologies. More and more,

BIO’s members are looking abroad as they expand their R&D and commercialization efforts and

the challenging IP policies highlighted below frustrate this growth.

A. BIOSIENCE INNOVATION IMPROVES THE ECONOMY

Advances in biotechnology innovation have had a transformative impact on many sectors of the

economy — from advances in healthcare to improved plants that are key to feeding the world to

industrial biotechnology applications that are leading to bio-based fuels, chemicals and products

that can protect our environment and herald a new age of sustainable development.

Bioscience industries employed 1.74 million people in 2016 across more than 85,000 U.S.

business establishments. The broader employment impact of U.S. bioscience jobs is an

additional 8 million jobs throughout therest of the economy. Taken together, these direct,

indirect, and induced bioscience jobs account for a total employment impact of 9.7 million jobs.1

The industry continues to pay high wages, reflecting the high skills and education requirements

of an innovative workforce, with the average U.S. bioscience worker earning nearly $99,000 per

year, or 85% greater than the private sector average. Since 2001, bioscience wages have grown

substantially faster than overall private sector wages.2 The bioscience industry is also well

distributed geographically in the United States: 38 states and Puerto Rico have an employment

specialization in at least one bioscience subsector. For U.S. metropolitan areas, 213 of 383 have

employment in at least one biotechnology sector.3

1 “Investment, Innovation and Job Creation in a Growing U.S. Bioscience Industry 2018”

https://www.bio.org/sites/default/files/TEConomy_BIO_2018_Report.pdf at 1-2. 2 Id. 3 Id.3

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B. BIOSCIENCE INNOVATION IMPROVES HEALTH OUTCOMES

In addition to contributing to economic prosperity, bioscience industries are delivering improved

health outcomes and giving individuals who suffer from medical conditions the hope of living a

fuller, healthier life. Innovations made by the bioscience industry are transforming the way we

treat patients. Today, many diagnoses that were once devastating can now be cured or treated as

a manageable chronic condition. For instance: Hepatitis C, which was once an incurable disease,

now has cure rates above 90%; the death rate for cancer has fallen by 22% since its peak in 1991,

due in large part to medicines; and HIV/AIDS death rates have decreased 85% since 1995.4

C. BIOSCIENCE INNOVATION IMPROVES AGRIGULTURE AND OTHER

INDUSTRIES

In addition to health outcome improvements, significant and meaningful advances have been

made in agriculture, food and industrial biotechnology.

In agriculture, genetically engineered crops have been on the market for twenty years. During

this time, advances in bioscience have enabled farmers to more effectively manage harmful pests

and disease thereby increasing crop yields, reducing environmental impacts making agricultural

production more sustainable. In addition to addressing agronomic challenges, advances in

biosciences now enable farmers to grow higher valued consumer oriented crops, such as non-

browning apples and potatoes that reduce food waste and soybeans with a more heart healthy oil

composition.

Furthermore, innovations in industrial biotechnology illustrate a shift towards bio-based products

is underway that is critical for environmentally sustainable development. These bio-based

products are biodegradable and non-polluting and can also be applied to use in environmental

remediation to clean up the legacy of our non-sustainable industrial past.5

II. INTELLECTUAL PROPERTY ENABLES DEVELOPMENT OF BIOTECHNOLOGY

INNOVATION

Biotechnology business models (for agriculture, pharmaceutical and industrial applications) are

built on collaborations between universities, small biotechnology companies, venture capital and

larger private company partners. Governments support this model, and benefit from

development of biotechnology innovations into products when they establish enabling

environments for innovation. Experts have identified seven components of an enabling

innovation environment for biotechnology: human capital, infrastructure for R&D, intellectual

property protection, regulatory environment, technology transfer, market and commercial

incentives, and legal certainty.6

4 “Innovation Saves” https://www.bio.org/toolkit/infographics/innovation-saves 5 “Growing America’s Biobased Economy” https://www.bio.org/toolkit/issue-briefs/growing-

america%E2%80%99s-biobased-economy 6 Building the Bioeconomy 2018. http://www.pugatch-consilium.com/reports/Building_the_Bioeconomy2018.pdf

See page 12

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The agricultural and pharmaceutical biotechnology industries rely heavily on patents and

regulatory data protection for legal certainty needed to attract investments. The development of

a single biotechnology product in both of these sectors often takes scientists more than a decade

to commercialize, and hundreds of millions (and in the healthcare sector more than a billion) of

dollars of capital investment, a significant amount of which comes from private sources.

Biotechnology product development is also fraught with high risk – the vast majority of biotech

medicines and therapies fail to ever reach the marketplace. In addition, while biotech health

inventions are entitled to the same patent term as all other inventions − 20 years from the time

they are filed – they face the additional hurdle of a rigorous pre-launch regulatory review process

during which they may lose between 8 to 10 years of the patent life. In agricultural

biotechnology, following regulatory approvals in cultivating countries such as the United States,

the path to market is often delayed due to asynchronous approvals in markets that import U.S.

grain, such as Europe and China, thus eroding patent life.

Venture capital firms invest in capital-intensive, long-term, and high-risk research and

development endeavors only if they believe that there will be an attractive return on their

investment. Patents and regulatory data protection help provide this assurance. According to a

patent survey conducted by researchers at the University of California Berkeley, 73% of the

biotechnology entrepreneurs reported that potential funders, such as venture capitalists, angel

investors, and commercial banks, indicated patents were an important factor in their investment

decisions.7

Without strong and predictable patent protection, investors will shy away from investing in

biotech innovation, and will simply put their money into projects or products that are less risky –

without regard to the great value that biotechnology offers society.

While the IP environment in the United States has contributed to the emergence of many

biotechnology businesses and provided their first market opportunities, these businesses need to

participate in the global economy in their search for innovations and rewards for transforming

those innovations into products. IP reforms outside the United States could improve conditions

for export of biotech from the United States. In addition, improvements in IP would benefit

those countries and support their ambitions to develop innovative ecosystems. An OECD study

by Cavazos et al, for instance, looked at R&D expenditure and technology transfer as well as

FDI and found that a 1% change in the strength of a national IP environment (based on a

statistical index) is associated with a 2.8% increase in FDI in-flows, a 2% increase in service

imports and a 0.7% increase in domestic R&D.8 Studies show that even developing countries

obtain economic benefits from increasing their IP protection.9 Like in other trade areas,

7 Graham, Stuart J. H. and Sichelman, Ted M., Why Do Start-Ups Patent? (September 6, 2008). Berkeley

Technology Law Journal, Vol. 23, 2008. Available at SSRN: http://ssrn.com/abstract=1121224 8 “Building the Bioeconomy”, Supra, 19-20. 9 See Cavazos, Ricardo H. & C. Lippoldt, Douglas & Senft, Jonathan, 2010. Policy Complements to the

Strengthening of IPRS in Developing Countries; Minyuan Zhao, 2010. "Policy Complements to the Strengthening of

IPRS in Developing Countries - China's Intellectual Property Environment: A Firm-Level Perspective," OECD

Trade Policy Papers 105, OECD Publishing; ; Lee Branstetter & Kamal Saggi, 2009. "Intellectual Property

Rights, Foreign Direct Investment and Industrial Development," Economic Journal, Royal Economic Society,

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increased standards in IP provide a win-win situation for the United States and other nations

around the world.

For well over a century, governments have recognized the need for global minimum standards

that enable inventors to effectively and efficiently protect and share their inventions in a

territorial system of intellectual property rights. The Paris Convention for the Protection of

Industrial Property (signed in 1883) allowed inventors, regardless of nationality, to claim priority

for their inventions and to take advantage of the intellectual property laws in each member

country. Today, most countries are members of the Paris Convention and the Patent Cooperation

Treaty (PCT) that facilitates filing patent applications globally.

The World Trade Organization (WTO) Agreement on Trade-Related Aspects of Intellectual

Property Rights (TRIPS), which entered into force in 1994, was a major achievement in

strengthening the worldwide protection and enforcement of intellectual property rights by

creating an international minimum standard of protection for intellectual property rights. Because

it concerns both the definition and enforcement of rights, TRIPS is one of the single most

important steps toward effective protection of intellectual property globally.

Through WTO accessions and regional and bilateral trade agreements, the United States and

other countries have given effect to and built on the global minimum standards of protection

international rules provide. U.S. trade agreements can help to drive and sustain biotechnology

innovation by eliminating restrictive patentability criteria, addressing unreasonable patent

examination and marketing approval delays, promoting the early and effective resolution of

patent disputes and protecting regulatory test data. They have established rules and principles

that, if implemented effectively, promote fair, transparent, reasonable and non-discriminatory

market access for life science technologies.

Despite these achievements, certain U.S. trading partners maintain or are considering acts,

policies or practices that are harming or would harm the ability of biotechnology innovators to

research, develop and deliver new treatments and cures for patients and advances in agricultural

and industrial biotechnology applications around the world. Some of these efforts are aimed at

forcing localization of technology. While often popular they are harmful not only to the

biotechnology industry but to the long-term prospects for the country’s economic growth in this

sector.10 These acts, policies or practices deny or would deny adequate and effective intellectual

property protection and/or fair and equitable market access for innovative biotechnology

products. In many cases, they appear to be inconsistent with global, regional and bilateral rules.

To help assess the IP challenges abroad that may hinder biotechnology developments, BIO has

surveyed our members asking them to identify relevant IPR barriers in the identified nation’s

law, courts, enforcement regime, regulatory regime, import/export regime, etc. Our members

have provided the information found in this submission and we have compiled the information in

aggregate form.

vol. 121(555), pages 1161-1191; Branstetter, Lee & Fisman, Raymond & Fritz Foley, C & Saggi, Kamal, 2007.

Intellectual Property Rights, Imitation, and Foreign Direct Investment: Theory and Evidence. 10.3386/w13033. 10 Pugatch, Localization Barriers, http://www.pugatch-consilium.com/reports/Localization%20Paper_us_final.pdf

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III. Practices that Undermine Innovation

In recent years the biotechnology industry has faced a growing number of work streams within

the multilateral system that threaten to undermine future investments and innovation in

biotechnology - most significant, the repeated and narrow focus on IP as a barrier to access to

medicines. While IP and pricing related to new drugs and biologics have long been a source of

debate, multilateral institutions are increasingly providing fora to pursue biased work streams

that cast innovators and the systems that incentivize innovation as cause of problems surrounding

access to medicines. These work streams simply serve to polarize the issue rather than advance

meaningful solutions, because they are not evidence-based and fail to examine the myriad of

fundamental challenges that are in fact the cause of limited access – such as poorly functioning

healthcare regulatory systems, supply chains and delivery infrastructure and systems.

Biotechnology innovators support strong national health systems and timely access to quality,

safe and effective medicines for patients who need them. Patents and regulatory data protection

drive and enable the research and development that delivers new treatments and cures. These

limited and temporary intellectual property rights are not barriers to access to medicines; to the

contrary, they promote access to medicines, particularly when governments and the private

sector partner to improve health outcomes.

BIO describes below some of these flawed approaches that should be prioritized by the U.S.

government in its trade-related negotiations with foreign countries and in its dealings with

multilateral organizations.

A. Compulsory Licenses

Under the guise of “TRIPS” flexibilities, non-government organizations and some international

organizations are actively encouraging governments to avoid granting IP rights, force

biotechnology companies to transfer technology to local companies, or regularly resort to

compulsory licenses (CLs) for biopharmaceutical products.

Some governments have issued or threatened to issue CLs that allow local companies to make,

use, sell or import particular patented medicines without the consent of the patent holder. In the

case of medicines, BIO strongly believes governments should grant CLs only in accordance with

international rules and as a last resort in exceptional circumstances. Decisions should be made on

public health emergency grounds through fair and transparent processes that involve

participation by all stakeholders and consider all the facts and options, including less harmful but

effective alternatives to CLs.

B. Price Controls

As mentioned earlier, bringing a new biopharmaceutical product through the lengthy research

and development phase to commercialization stage is increasingly costly and risky. Strong

intellectual property protection is critical, but so is value-based pricing and reimbursement. In

many foreign countries, where the government is responsible for health care costs, industry is

under attack to lower prices. Biopharmaceuticals are saving lives and curing once incurable

diseases. As independent data consistently shows, these new treatments not only save lives, but

also can lower overall health care costs. Unfortunately, longer-term savings and population

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health and productivity gains are often overlooked for short-term budgetary gains, and the value

of biopharmaceutical innovations and their IP are being unreasonably restricted by countries. In

particular, BIO is concerned about such practices by developed economies such as Canada,

Japan and Korea.

These developed countries, with strong economies and capacities of their own and high standards

of living, should be in the forefront of nations acting responsibly to support innovators working

to improve health outcomes globally. We provide below brief summaries of negative market-

access policies in these countries that have been identified by BIO members. Additional detail

can be found in the specific country sections in this submission.

BIO encourages the United States to place Canada, Japan and Korea on the Priority Watch List

to prioritize addressing these practices in the context of ongoing trade negotiations.

Canada

In 2017, Canada proposed regulatory changes to the Patented Medicine Prices Review Board

(PMPRB) with a stated goal of ensuring “non-excessive” prices. Key proposals would amend

the basket of reference countries used to calculate reimbursement prices by deleting the United

States and Switzerland. They also would introduce various new factors to determine whether a

price is “excessive,” and require manufacturers to report all indirect price reductions. These

proposed changes could have a serious negative impact on the value of innovative products and

their associated intellectual property rights developed and introduced by U.S. biopharmaceutical

companies operating in Canada.

Japan

In December 2017, the Japanese government approved a drug pricing reform package that

contains a number of new pricing efforts that significantly undermine Japan’s pro-innovation

environment and its efforts to carry its fair share of the costs of global R&D efforts. The

eligibility criteria for the new Price Maintenance Premium (PMP) program means that some of

American’s most innovative pharmaceutical products will now be significantly undervalued.

Specific elements of the PMP also call into question Japan’s commitment to non-discriminatory

policies, including “national treatment” principles. In addition, the lack of procedural

transparency and meaningful input by industry into the new cost-effectiveness-based Health

Technology Assessment (HTA) system, which is expected to be finalized in 2019, could further

disincentivize innovation in Japan.

Korea

Korea restricts the prices of innovative medicines by valuing them according to the prices of

older medicines or prices in poorer countries. In addition, Korea’s pricing policies overtly favor

its domestic pharmaceutical industry. Through these valuation techniques, Korea seeks to benefit

from research and development generated to a large degree in the United States without paying

its fair share. This approach harms not just the U.S. industry, but also patients around the world

by reducing the revenues available to further expand R&D efforts. It is also inconsistent with

Korea’s commitments under KORUS, including the updated U.S.-Korea Free Trade Agreement

Outcomes, to value U.S. innovation appropriately to ensure that patent owners can secure

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reasonable economic rewards free from price distortions.

C. Other Common Concerns

The intellectual property challenges described below have practical and immediate impact on the

ability of BIO members to invest in discovering and transforming promising molecules and

proteins into useful new applications to help heal, feed and fuel the world. These challenges

hinder or prevent innovators from securing patents (patent backlogs and restrictive patentability

criteria), maintaining and effectively enforcing patents (lack of mechanisms to promote efficient

resolution of patent disputes, weak patent enforcement and due process) and protecting

regulatory test data (regulatory data protection failures).

Patent Backlogs

Long patent examination and approval backlogs harm domestic and overseas inventors in every

economic sector. Backlogs undermine incentives to innovate across sectors and prevent timely

patient access to valuable new treatments and cures while also contributing to delay in

introduction of new agricultural innovations. Because the term of a patent begins on the date an

application is filed, unreasonable delays can directly reduce the value of granted patents and

undermine investment in future research. For biopharmaceutical companies, patent backlogs can

postpone the introduction of new medicines. They create legal uncertainty, for research-based

and generic companies alike, and can increase the time and cost associated with bringing a new

treatment to market. Brazil, India and Thailand are countries with persistent backlog problems.

Restrictive Patentability Criteria

To transform valuable new innovations into products that people can use, innovators must be

able to secure patents on all inventions that meet the basic TRIPS requirements of being new,

involve an inventive step and are capable of industrial application. National laws, regulations or

judicial decisions that prohibit patents on certain types of inventions or impose additional or

heightened patentability criteria prevent innovators from building on prior knowledge to develop

valuable new and improved technologies. Some of the most serious examples of restrictive

patentability criteria challenges facing BIO members in countries around the world include:

Argentina, Brazil, Canada, Chile, China, Egypt, India, Indonesia, Thailand, Turkey.

Early Resolution Mechanism for Patent Disputes

A mechanism that allows for effective early resolution of disputes concerning patents of

innovative drugs benefits both the innovator and follow-on manufacturers by creating clear rules

for resolving costly patent disputes in an efficient manner. It also contributes to improving

patent enforcement by ensuring the regulatory agency of a jurisdiction do not inadvertently

contribute to the infringement of patent rights. China, for example, despite proposing to put in

place a patent linkage mechanism, has made little to no progress in ensuring implementation.

BIO is also continuing to monitor ongoing efforts to implement a robust and comprehensive

patent linkage system in Taiwan and other countries.

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Regulatory Data Protection Failures

Regulatory data protection (RDP) complements patents on innovative medicines and agriculture

protection products. By providing temporary protection for the comprehensive package of

information biopharmaceutical innovators must submit to regulatory authorities to demonstrate

the safety and efficacy of a medicine or of crop protection products, for marketing approval,

RDP provides critical incentives for investment in new treatments and cures.

RDP is particularly critical for biologic medicines, which may not be adequately protected by

patents alone. Derived from living organisms, biologics are so complex that it is possible for

others to produce a version – or “biosimilar” – of a medicine that may not be covered within the

scope of the innovator’s patent. For this reason and others, Congress included provisions in the

Affordable Care Act providing twelve years of RDP for biologics. This was not an arbitrary

number, but rather the result of careful consideration and considerable research on the incentives

necessary to ensure biopharmaceutical innovators and the associated global scientific eco-system

are able to sustainably pursue groundbreaking biomedical research.

Unfortunately, many U.S. trading partners do not provide adequate, if any, RDP. This is clearly

contrary to WTO rules, which require parties to protect regulatory test data against both

disclosure and unfair commercial use. Examples described further in the country profiles below

include: Argentina, Brazil, China, India, Indonesia, Malaysia, Russia, Thailand, and Turkey.

BIO members urge USTR and other federal agencies to highlight these countries and challenges

in the 2019 Special 301 Report and to use all available tools to address and resolve them.

PRIORITY FOREIGN COUNTRY

Malaysia

BIO and its member companies are alarmed by actions of the Malaysian government which

constitute a blatant disregard of patent rights protection and recommend USTR treat Malaysia as

a Priority Foreign Country.

In September 2017, the Government of Malaysia exercised its rights under Section 84 of its

Patent Act of 1983 and announced it would move forward with a “government-use license” –

effectively a compulsory license - on a patented therapeutic product, despite the patent owner’s

agreement to address related public health concerns through voluntary licenses. The government-

use license would nullify patent rights in favor of providing marketing opportunities to local

pharmaceutical companies. In addition, the government and local advocates have expressed

interest in expanding the compulsory licensing scheme to include additional patented therapies.

The use of compulsory licensing in Malaysia has far reaching ramifications for the

biopharmaceutical industry as other governments, such as Chile and Colombia are considering

similar policies that would provide broad discretion to issue compulsory license. In 2018, USTR

named Malaysia for Out-of-Cycle Review to evaluate the extent to which Malaysia is providing

adequate and effective IP protection and enforcement, including with respect to patents.

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In addition to expropriation of patent rights, BIO is also concerned about the lack of effective

regulatory data protection in Malaysia. Not only is the scheme narrow in scope, it also places

onerous requirements on biopharmaceutical originators seeking protection for their data against

unfair commercial use and disclosure. As a result, some companies have had their applications

rejected on arbitrary grounds, and some face an unreasonably curtailed protection period.

The intellectual property challenges faced by BIO member companies in Malaysia are egregious.

The compulsory licensing scheme, coupled with lack of meaningful regulatory data protection,

will adversely affect the incentives for companies to develop and to introduce new therapies in

Malaysia, and the spread of these practices will weaken U.S. companies’ ability to compete

globally, and, ultimately, put American jobs at risk.

Compulsory Licensing

In September 2017, Malaysia’s Ministry of Health, under the Administration of former Prime

Minister Najib Razak, announced that the Cabinet approved a government-use compulsory

license on a patented breakthrough therapy developed by a U.S. biopharmaceutical company.

The compulsory license would permit local firms in Malaysia to import and manufacture generic

versions of the patented product for sale at public hospitals without the consent of the patent

owner. Prior to the announcement by the Malaysian Ministry of Health, the patented treatment,

which is a medical breakthrough for hepatitis C virus (HCV) patients, had been approved by

Malaysia’s own regulators and available to patients in Malaysia for two years, since September

2015. In addition, the patent owner had committed to include Malaysia in its voluntary licensing

program, which would address the Malaysian Government’s procurement needs while providing

patients with affordable quality-assured products in a timely manner. Instead, the Government

of Malaysia moved forward with compulsory licensing, and its sudden announcement provided

little opportunity for the patent owner to give timely feedback, nor for the input to be

meaningfully considered.

Malaysia’s compulsory licensing scheme lacks sufficient transparency, due process, and

dialogue, as the patent owner was given inadequate notice and limited opportunities to respond

to the government’s decision. Furthermore, the Ministry of Health continues to entertain

recommendations by advocacy groups to impose compulsory licenses on additional therapeutic

areas, which would allow local companies to import, manufacture, sell, and distribute generic

versions of patented products. Using compulsory licensing to promote the importation of or local

production of medicines, at the expense of innovators and manufacturers in the United States and

elsewhere, appears to be a key industrial policy strategy for the Malaysian government, which

has identified biotechnology as one of its strategic growth sectors.

Despite being named for Out-of-Cycle Review by USTR in 2018, and despite renewed efforts by

the U.S. innovator to engage in in-depth negotiation with the new Administration under Prime

Minister Mahathir Mohamad to address Malaysia Government’s procurement needs under its

voluntary licensing program, the Ministry of Health nevertheless moved forward to enable third-

party manufacturers, which have not demonstrated compliance with Good Manufacturing

Practices, to manufacture and import the patented products for use in 22 public hospitals. It is

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also disappointing that the Malaysian Government has taken no meaningful steps to improve

transparency and the lack of procedural fairness in pricing and procurement negotiations.

Malaysia’s baseless decision to expropriate patent rights of a U.S. manufacturer through a

process that lacked transparency, and in the absence of any justified access problem, is deeply

troubling to BIO and our members.

Compulsory licenses should be granted in accordance with international agreements and only in

exceptional circumstances. Furthermore, compulsory licensing decisions should be made through

a fair and transparent process that involves participation by all stakeholders. Priority should be

given to a partnership or mutually accepted resolution with the patent holder. BIO feels strongly

that compulsory licensing is not an effective nor sustainable way to address a country’s

healthcare needs, nor is it an indication of a strong national healthcare system, one that ensures

patient access to safe and quality medicines while supporting continued development of

innovative treatments. BIO urges the Government of Malaysia to uphold its commitments to

protect the intellectual property rights of foreign patent holders and to ensure that current, as well

as future, patients have access to innovative medicines.

BIO is further concerned that Malaysia’s denial of proper IP protection for patent holders may

set a destructive precedent that will erode the spirit of the TRIPS Agreement and ultimately

dilute the global intellectual property regime. Other government authorities are aware of the

actions taken by the Malaysian government, and are closely monitoring stakeholder reactions,

including that of the U.S. government. Malaysia’s compulsory licensing decision and the

potential expansion of expropriations through licensing within, as well as beyond, Malaysia’s

borders will harm American companies and place American jobs at risk. BIO therefore requests

intervention by the Office of the USTR and the U.S. interagency to defend the IP rights of and to

preserve fair and equitable market access by U.S. biopharmaceutical innovators.

Regulatory Data Protection

Malaysia’s policy on data exclusivity severely limits the protection afforded to

biopharmaceutical originator’s proprietary data submitted to the Ministry of Health. In particular,

BIO is concerned that Malaysia’s data exclusivity guidelines effectively exclude data protection

for biological products. Under Malaysia’s regulatory data protection regime, the Ministry of

Health restricts eligibility of originators to receive data protection by requiring originators to

submit the new drug application within eighteen months from the date the product is first

registered or granted marketing authorization globally. For new indications, the time limit to

apply is only twelve months. Such an arbitrary time limit for seeking marketing approval in order

to qualify for data protection unfairly discriminates against smaller and medium-sized biotech

firms that may not have the resources or the expertise in global marketing of products.

Furthermore, companies may have a valid reason to postpone launch in the Malaysian market,

such as additional testing for safety concerns due to adverse events in another market.

Malaysia’s policy on data exclusivity unreasonably curtails the protection period of regulatory

data by starting the clock of the protection period from the date the product is first registered or

approved and granted data exclusivity in the country of origin. Thus, the only instance in which

an innovator can receive the full five years of RDP in Malaysia is if they seek marketing

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approval in Malaysia first. Furthermore, BIO is concerned with the lack of transparency, due

process, and stakeholder consultation in the Ministry of Health’s decision to deny regulatory data

protection to originators.

BIO member companies invest a significant amount of resources to develop research data to

prove the safety, efficacy, and quality of originator products. The lack of adequate regulatory

data protection scheme in Malaysia undermines the competitiveness of biomedical innovators in

the United States and elsewhere by allowing other firms to rely on originator-generated data to

obtain market approval.

PRIORITY WATCH LIST

Algeria

Despite positive collaboration with the Algerian government until 2012 and public statements

from subsequent Ministers affirming their commitment to boosting the country’s competitiveness

in the innovative biopharmaceutical sector, BIO members continue to face significant intellectual

property and market access challenges in Algeria. Nonetheless, BIO continues to work directly

with the Algerian government to advise them on the necessary enabling factors to grow their

local innovative sector and resolve critical issues facing global biotechnology companies.

Due to issues surrounding weak patent enforcement and regulatory data protection failures, as

well as market access barriers such as import restrictions and forced localization, BIO

recommends the continued placement of Algeria on the Priority Watch List.

Weak Patent Enforcement and Regulatory Data Protection

Algerian regulatory authorities, despite the existence of laws and regulations to the contrary,

continue to grant marketing approval to copies of patent protected products while the original

patent is still in effect. In some cases, this occurs many years in advance of the original product

patent expiration despite the owners repeated attempts to alert the authorities and present

documentation confirming that the product is under patent in Algeria. This issue is compounded

by the absence of effective judicial remedies for preventing the infringement of basic patent

rights, including the lack of injunctive relief.

Furthermore, Algeria fails to protect pharmaceutical test and other data from unfair commercial

use and disclosure.

Market Access Barriers

Since 2009, Algeria has prevented the importation of many products that compete with similar

products that are being manufactured locally. Further measures taken in 2015 to restrict the

importation of products not manufactured locally contradict the government’s aspirations to

attract more investment by the innovative biopharmaceutical industry, and for Algeria to accede

to the WTO. BIO continues to be concerned by the Ministry of Health’s procedures to promote

forced local manufacturing. Such actions have a negative impact on patients and unfairly

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discriminate against BIO members. Repealing such policies should be a prerequisite for

Algeria’s ascension to the WTO.

Argentina

Argentina has expressed interests in encouraging the development of an innovative bio-economy

and BIO welcomes the opportunity to partner with the Government of Argentina. However, BIO

members continue to face a challenging IP environment in Argentina. Most concerning are

persistent patent backlogs, lack of patent term extension, narrow patentability requirements and

lack of regulatory data protection. Accordingly, BIO recommends Argentina remain on the

Priority Watch List.

BIO requests that USTR utilizes all bilateral and multilateral opportunities with the Argentine

government to raise concerns and address the critical intellectual property issues described in this

document, including through the negotiations of the Trade and Investment Framework

Agreement (TIFA), the Patent Cooperation Treaty (PCT), and other bilateral means to address

these challenges.

Restrictive Patentability Criteria and Patent Prosecution Practices

Argentina has one of the most restrictive IP regimes for obtaining biopharmaceutical and

agribiotechnology patents in the world. Argentine Patent Examination Guidelines Disposition

No. 73/2013; Joint Resolutions No. 118, 546, 107 of 2012 for biopharmaceutical inventions; and

Resolution No. 283/2015 for biotechnology inventions applied to plants or animals introduced

higher standards for the examination of patent applications and restrict as patent eligible subject

matter innovations that are essential for the biotech sector. For example, pharmaceutical patents

are not available for compositions, dosages, salts, esters and ethers, polymorphs, analogous

processes, active metabolites and pro-drugs, enantiomers and selection patents. In addition, the

ability to describe and claim an invention using Markush-type claims is severely limited. As

such, the restrictive guidelines refuse pharmaceutical patents for almost 80% of all

pharmaceutical applications.

Furthermore, Resolution No. 283/2015 imposes additional patentability criteria beyond those of

demonstrating novelty, inventive step and industrial application for biotechnology inventions

applied to plants and animals. BIO encourages Argentina to respect the implementation of the

international standards for novelty, inventive step and industrial applicability and abrogate the

internal regulations that establish new criteria that is not supported neither in the Patent Law and

its Regulating Decree.

These existing internal regulations that Argentina has in practice deters the introduction of more

biotech innovations into Argentina and could disincentivizes local innovation in these areas.

Argentina is one o the few remaining trading partners with the US that has still not become a

member of the Patent Cooperation Treaty (PCT). Argentina could benefit from this international

treaty which facilitates the ability, for example, of local inventors access to the filing and

examination of inventions in more than a hundred countries in the world. Implementing this

widely accepted agreement would be a positive step toward reducing unnecessary expenses and

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facilitating the procurement of patent applications not only for BIO’s members but also for local

inventors.

Regulatory Data Protection

Argentina does not provide adequate protection for data submitted in support of marketing

authorizations to establish that either agricultural, chemical, pharmaceutical products and/or

biotechnology products are safe and effective. Specifically, Law 24,766 permits Argentine

Regulatory Authorities to rely on innovator’s data to approve other similar or identical products

as soon as the innovator product is itself approved. The companies which introduce other similar

or identical products in Argentina may also rely on marketing approval of an innovative product

in other countries to support their Argentine filing. The protection of proprietary regulatory data

is critical to the ability of pharmaceutical, chemical and biotechnology companies to develop and

commercialize pharmaceutical, agrochemical and biotechnology products in a particular market.

Argentina is obligated under Article 39.3 of the TRIPS Agreement that requires such data to be

protected against “unfair commercial use.”

Persistent deficiencies in the patent and data protection regime in Argentina deny adequate and

effective protection for the intellectual property rights of BIO’s members. It is not valid to resort

to the so-called “flexibilities” of the TRIPS Agreement so as fail to comply with its provisions.

Discriminatory Procurement Policies

Following legislation from 2001, in 2018 was passed in Argentina Law 27.437 setting

preferences for local produced goods in public purchases. These criteria focusing exclusively on

price and origin of goods could result in disregarding scientific value, quality and the respect of

the medical prescription in case of medicines.

Law 27.437 -locally known as “Compre Argentino” (Buy Argentine)- establishes preferences in

favor of goods of national origin in public purchases and public tender processes. Article 2

establishes that the preference to offers of goods of national origin will be granted when for

identical or similar benefits, in conditions of cash payment, the price of offers of goods of

national origin is equal to or less than the goods offered that are not of national origin, increased

by fifteen percent (15%), when those offers are made by Micro, Small and Medium Enterprises

(SMEs), according to Law 27.264 and its amendments, and by eight percent (8%) for the rest of

the companies. The use of this criteria alone without considering other factors could result in the

selection of suppliers only based on price and local production regarding the quality and the

scientific value proposition of innovative medicines being imported.

Additionally, Law 27.437 establishes that if the value of the request for proposal to purchase

imported goods exceeds the threshold set in Article 10, it must be requested to the bidder to sign

productive cooperation agreements for a percentage of at least 20% of the value of the total bid.

The productive cooperation agreements consist in the commitment of the bidder to acquire local

goods and hire local services linked to the object of the tender.

In public procurement processes or when tendering is used, the award criteria should encompass

the full value that a medicine brings to patients, the health system and society as a whole rather

than just the price or, even worse, exclusively the mere origin of the product.

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Brazil

Although Brazil has made some improvements to its protection of intellectual property over the

years, there are still several persistent problems that hinder Brazil from fully achieving a positive

IP environment across technology sectors, particularly with respect to the biotechnology sector.11

In light of the ongoing problems, BIO recommends that USTR place Brazil on the Priority

Watch List.

Brazil could improve its IP environment by addressing some of the key issues briefly

summarized below. Broadening the scope of patent eligible subject matter for biotech inventions

would be a welcome improvement. In addition, reducing its major patent backlog and having

strong patent enforcement measures in place would send a positive signal to investors and

innovators that it is serious about attracting investment in this sector.

Brazil has taken some positive steps with respect to the role of its health regulatory agency,

ANVISA, in reviewing patentability requirements of pharmaceutical patent applications.

ANVISA’s opinions are no longer binding on the Brazilian Patent Office (INPI) and we

encourage that further progress be made to strengthen the rigor of the Brazilian patent

examination process.

One way to strengthen the patent examination process in Brazil that would benefit biotechnology

companies would be to have Brazil join the U.S. in patent harmonization efforts and strongly

encourage the expansion of the Patent Prosecution Highway partnership between the INPI and

USPTO, so that it is not restricted to the oil and gas sector and, therefore, available to all patent

applicants.

Restrictive Patentability Criteria and Patent Prosecution Practices

The INPI has developed patent examination guidelines for biotech inventions across the health,

agriculture, energy, and industrial biotech sectors. Although offering some improvements and

clarity on INPI positions on patentable subject matter, the guidelines continue to reflect a

restrictive approach to defining patent eligible subject matter and have a narrower interpretation

of these issues than standards adopted in other innovative countries. BIO would welcome

working with the INPI and the innovative biotech community in Brazil to update these

guidelines.

Other INPI resolutions and guidelines that govern the patent prosecution practice present further

obstacles for patent applicants when looking to present amendments, add new claims and/or alter

the scope of protection of claims for patent applications under review. A restrictive approach to

adopting more flexible patent prosecution standards presents challenges to innovative companies

that seek patent protection in Brazil. In addition to restrictive patentability criteria and

challenging patent prosecution rules that are at odds with global best practices, there are several

bills before the Brazilian legislature that may negatively affect the IP environment. For example,

11 For example, this study provides five post-patent law reform bio-medical technology and innovation projects in

the state of Sao Paulo that all show how patents incentivized Brazilian entrepreneurs to bring Brazilian biotech

innovation to the market. See Ryan, Michael P., Patent Incentives, Technology Markets, and Public-Private Bio-

Medical Innovation Networks in Brazil, World Development Journal 38 (2010).

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Bill 139/1999 (5402/2013) seeks to reduce patent term by not allowing for patent term

adjustment and Bill 827/2015 and 5557/2016 may significantly impact the innovative agriculture

sector and the ability to obtain patent protection for agriculture innovations.

Finally, in addition to the patent-specific concerns our industry faces, BIO members also do not

have any regulatory data protection for pharmaceutical products. This lack of data protection

continues to present significant challenges to our sector and signals Brazil’s unwillingness to

support IP assets.

Patent Backlog

INPI has currently an unacceptable backlog – more than 200,000 patent applications pending for

approximately 270 examiners, which extends the examination for more than 10 years. There is

no doubt that the number of patent’s examiners is blatantly insufficient, including for

applications related to biotechnology. In this sense, it remains a great challenge for INPI to

increase and improve its staff and examiners properly. INPI presents every year new plans to

deal with this huge backlog, which results have been continuously unsatisfactory.

The backlog problems may be exacerbated if Bill 139/1999 (5402/2013) before the Brazilian

legislature is passed. The bill seeks to reduce patent term by not allowing for patent term

adjustment, essentially removing the guarantee that a patent will have at least 10 years of patent

term. Patent applicants may effectively expect less than a 10-year patent term considering that

patent applications in the biotech space almost invariably take more than 12 years to issue. Patent

applicants should not be penalized on obtaining meaningful patent term for patent backlog delays

caused by the INPI.

One potential solution to the patent backlog is through collaboration and harmonization with

other foreign IP offices, through programs such as the Patent Prosecution Highway (PPH) that

the INPI currently has with the USPTO and with other global patent offices, such as the Japanese

Patent Office (JPO). The PPH with USPTO is currently restricted to oil and gas sectors and the

PPH with JPO is also restricted to specific sectors that do not include biotechnology. BIO

members are hopeful that if PPH with USPTO is revisited that the program be extended to

additional sectors, including biotech.

Another potential solution to improve the backlog is by creating an accelerated pathway for

obtaining green patents. Although this pathway exists in theory, in practice is still has not yet

reached its full potential. BIO members are hopeful that they will be able to file more patents

through this accelerated pathway as we continue to innovate in this space.

ANVISA’s Questionable Role in Reviewing Patentability Criteria

Brazilian law establishes that the regulatory authority (ANVISA) must provide prior consent on

the grant of a pharmaceutical patent before the INPI issues a patent. ANVISA had interpreted

this requirement as an obligation to review patentability criteria (novelty, non-obviousness, and

utility) and BIO recognizes ANVISA’s recent efforts to minimize its role in the patent review

process.

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BIO maintains that ANVISA’s review of patent applications should, at most, address public

health issues and ANVISA should not, under any circumstance, review patentability

requirements since this is a function that is squarely and solely within the purview of the INPI.

The Federal Attorney General shares this opinion and that determined that ANVISA’s review

should be restricted to an analysis of the sanitary risks of the patented product to health.12 Inter-

ministerial guidance has opined on this issue and have attempted to iron out procedural processes

for the exchange of files between ANVISA and INPI.

In 2017, the acting President Michel Temer participated in the signing of an agreement between

the Ministry of Health, Ministry of Development, Industry and Foreign Trade, ANVISA and the

INPI in which a compromise on prior consent was made. The new agreement establishes that

ANVISA will only review patentability requirements for drugs considered “strategic” to the

Universal Healthcare System and only if a patent application is considered “strategic” may

ANVISA assess patentability requirements. The agreement further stipulates that the ANVISA

opinion on patentability, however, is ultimately non-binding and that the final decision on

patentability rests with the INPI. Although this illustrates some advancement on the issue and

acknowledgement of INPI’s primary role in reviewing patent applications, ANVISA’s presence

in the process still presents concern to BIO membership and is inconsistent with global IP

standards. ANVISA is still notified of patent applications that refer to a “strategic” drug and

ANVISA will still carry out a patentability assessment, albeit a non-binding opinion. In addition,

the list of “strategic” drugs can be updated on an ad hoc basis at any moment without any public

consultation. Giving ANVISA a say on patentability remains inconsistent with its mandate and

may lead to undue interference in patent examination process. Until ANVISA is clearly removed

from the patentability process in Brazil, BIO members will continue to express their concern.

Therefore, the issue continues to present significant problems to our members, creating delays in

the patent examination, and providing unnecessary insecurity with respect to a patent applicant’s

pending patent application.

Enforcement and Royalty Payments

For BIO members fortunate enough to navigate the complicated IP environment and ultimately

obtain a patent, it is concerning that there remain additional obstacles to effectively enforce the

acquired IP right.

For example, the INPI requires registration of license agreements before they can be enforced

against third parties or before royalty revenues can be sent overseas. In addition, royalty

payments cannot be sent overseas unless an actual patent is granted which places some

restrictions on BIO members to license pending patents. Furthermore, INPI can dictate terms

prohibiting parties from freely negotiating contracts and restricting IP owners from fully

exploiting their patents by, for instance, stipulating royalty rates.

12 Accessed on January 24, 2019 and found at:

http://translate.google.com/translate?sl=auto&tl=en&u=http://www.agu.gov.br/sistemas/site/TemplateImagemTexto

Thumb.aspx?idConteudo%3D153676%26id_site%3D3

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There are also concerning developments with respect to enforcement of IP in the agriculture

sector, specifically. Brazil is a member of the UPOV and executed its revision of 1978;

accordingly, Brazil has enacted a plant variety protection (PVP) law, excluding patent protection

for plants in generic terms (i.e. beyond plant varieties). A plant may be protected by the PVP

Law, whereas a gene inserted therein and other related technologies may be protected by the IP

Law. Intellectual Property rights provided by patent protection and PVP are thus complementary.

However, the PVP Law does not have a clear provision on its different and complementary scope

of protection, which allows local farmers and agricultural cooperatives/associations to challenge

payment of royalties on the use of GMO seeds based on a supposed conflict between the IP Law

and PVP Law regarding protection of plants and plant-related technologies. In view of this,

Brazilian courts have been urged to decide on whether PVP law trumps the enforcement of

patents in connection with biotech inventions related or applied to plants. A final decision is

pending on a leading case at the Superior Court of Justice. Our members are very concerned that

a decision limiting patent rights and establishing that the PVP law trumps the patent enforcement

or collection of royalties on saved seeds may completely jeopardize biotechnology innovation in

the agricultural field in Brazil.

Lack of Regulatory Data Protection

Brazilian law (Law 10.603/02) provides data protection for veterinary, fertilizer, and

agrochemical products, but does not provide similar protection for pharmaceutical products for

human use, resulting in discriminatory treatment. Contrary to TRIPS Article 39, Brazil continues

to allow Government officials to grant marketing approval for pharmaceuticals to competitors

relying on test and other data submitted by innovators to prove the safety and efficacy of their

products. Additional efforts are needed to provide certainty that test and other data will be fully

protected against unauthorized use to secure marketing approval for a fixed period of time.

Canada Canada continues to present a number of challenges to BIO’s members. Specifically, new

pricing policies for patented medicines, patent term restoration, injunction relief and are highly

concerning to BIO’s membership. As such, BIO requests that Canada be elevated from the

Watch List to the placed on the Priority Watch List with an Out of Cycle Review to assess the

IP environment in Canada.

BIO would like to reiterate its support of the USMCA and appreciates the Administration’s

efforts to prioritize biotechnology innovation, including provisions that update intellectual

property protections and agricultural market access to 21st century standards. Strong and

dependable intellectual property standards are critical to fueling innovation, attracting

investment, and ensuring that patients, farmers, and consumers around the globe have access to

the next generation of biotechnology breakthroughs. The USMCA represents an important step

in bringing Mexico and Canada closer to high U.S. standards that have made us the world leader

in biotechnology innovation. BIO is hopeful that in this context noticeable improvements will be

made in the IP environment in Canada.

Pricing for Patented Medicines

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In June 2017, Health Canada released a consultation document proposing to change the current

mandate of the Patented Medicines Review Board (PMPRB) from ensuring “non-excessive”

prices to ensuring “affordable” prices, and to change its pricing regulations accordingly.

Subsequently, on December 2, 2017, Canada’s draft Patented Medicines Pricing Regulations

were published. The new regulations are expected to cost the innovative biopharmaceutical

industry over $3 billion annually. Proposed amendments include removing the United States and

Switzerland from the basket of reference countries and to target OECD median prices.

In addition, the regulation would require patentees to report price and revenues, net of all price

adjustments (e.g., confidential rebates). Specifically, the proposal would require patentees to

report confidential rebate data and contains additional language on the potential use of these

data. This provision raises several concerns, including how the PMPRB intends to maintain

confidentiality of data, and whether the collection of this data is within PMPRB’s jurisdiction

under the Patent Act.

Moreover, the proposal includes 3 new factors that PMPRB must consider in determining

whether prices are excessive: “pharmacoeconomic value”; market size; and GDP measures. For

pharmacoeconomic value, PMPRB will use analysis prepared by a publicly funded Canadian

organization and there would be an obligation on patentees to submit most recent cost-utility

analyses, but that there would be no obligation on the patentee to prepare a cost-utility analysis if

one does not exist. However, no details on potential cost-effectiveness thresholds are

provided. How the PMPRB implements “pharmacoeconomic value” remains a significant

source of uncertainty. For market size, it is noted that the “Canadian price could be assessed

against international prices and prevalence (number of people with the disease) levels in an effort

to evaluate the price-volume relationship and establish a reasonable market impact

test. Including the size of the market as a factor would also allow the PMPRB to reassess the

prices of patented medicines over time.” For GDP, it is noted that this could “enable the

PMPRB to develop market impact tests for medicines that are likely to pose affordability

challenges for insurers due to the market size for the medicine.” Patentees would not be

responsible for reporting GDP or GDP per capita.

EU-Canada Comprehensive Economic and Trade Agreement (CETA)

CETA provides for several reforms to Canada’s Patent Act that will have important implications

for the biopharmaceutical industry including the introduction of patent term restoration via

Certificates of Supplementary Protection (CSP) and changes to Canada’s linkage regime. The

effectiveness of the reforms will be determined in regulations that are still being formulated.

The changes negotiated in the CETA text applicable to the biopharmaceutical industry were

intended to elevate Canadian intellectual property (IP) standards closer to those of the EU. BIO

is concerned that the current implementation proposed in the CETA regulations will not achieve

this objective.

For example, there are two main limitations with the CSPs, namely: the CSPs only allow for a

maximum two year period rather than a five year maximum and BIO members need to apply for

regulatory approval in Canada within one year of other major jurisdictions. In addition, changes

to damages rules for generic companies that challenge patent validity may result in windfall

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recoveries that harm patentees reliant on effective, non-discriminatory patent enforcement

regimes.

BIO will continue to urge Canada to implement CETA in ways that improve their IP

environment for biotechnology innovators and seek support from the United States in that effort.

Promise Doctrine

In June 2017, the Supreme Court of Canada issued its highly anticipated decision ruling that the

“promise doctrine” is not the correct method to determine whether the utility requirement in

the Patent Act. Rather, the correct approach is to first identify the subject-matter of the invention

as claimed in the patent, and then ask whether that subject-matter is useful. 13 BIO and its

members welcome this decision and acknowledge that Canadian Courts have not brought this

doctrine back into proceedings. BIO will continue to follow its application in future cases.

Chile

Recent developments regarding the potential use of a compulsory license of patented therapeutic

product would nullify patent rights in favor of providing market access to local generic drug

companies, despite patent holder’s willingness to negotiate an outcome that would avoid a

compulsory license. Due to the increasing threats of a compulsory license, as well as other long

unresolved IP issues such as with respect to data protection for biologics, U.S.-Chile Free Trade

Agreement (FTA) noncompliance, lack of patent term adjustment or patent term restoration,

BIO requests that Chile be placed on the Priority Watch List and to conduct an Out of Cycle

Review to monitor the changing IP and potential compulsory license developments.

Compulsory Licensing

On January 11, 2017, the Chilean Chamber of Deputies of the National Congress passed

Resolution No. 798 to expand the scope and discretion available to the Chilean government to

issue compulsory licenses. That resolution calls on the Ministry of Health (MOH) to “incorporate

and use the compulsory licensing mechanism provided in Article 51(2) of Chile’s Industrial

Property Law ... to facilitate [medicines] acquisition at competitive prices.” It also calls for the

prioritization of certain classes of medicines to be considered for compulsory licensing and

highlights the price reductions realized by certain countries after issuing compulsory licenses on

biopharmaceutical products. In addition, in January 2018, the Chilean Senate approved the

“Medicines II Bill,” which is now pending final approval from the Lower House. That bill seeks

to amend Article 99 of the Sanitary Code to establish that access to medicines is not adequate

“when there are economic, financial, geographic or opportunity barriers that prevent access to a

medication.”

In January 2018, the Chamber of Deputies approved Resolution No. 1014 seeking to establish

that access to certain Hepatitis C medicines is not consistent with the constitutional right to

health, thus warranting a compulsory license.

13 AstraZeneca v Apotex, 2017 SCC 36 (June 30, 2017)

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BIO is concerned that actions such as Resolution No. 798, the pending Medicines II Bill, and

Resolution No. 1014 inappropriately expand, or seek to expand, the scope of compulsory

licensing provisions to pursue cost-containment efforts inconsistent with international

obligations.

In addition to these developments at the legislative level, the Chilean Ministry of Health on

March 9, 2018 issued a declaration of public interest, citing sufficient “public health reasons to

support a compulsory license on a drug for the treatment of Hepatitis C. The declaration was

issued on the last effective day of the Bachelet administration.

On August 28, 2018, Chile’s Minister of Health of the current Pinera administration issued

Resolution 1165, dismissing the legal arguments put forward by the patent holder against the

declaration of public interest, formalizing the current administration’s position with respect to a

potential compulsory license and establishing a formal pathway to proceed with a compulsory

license of a Hepatitis C drug. Since the issuance of a declaration of public interest (DPI) by the

Chilean Minister of Health on March 9, 2018 the new Minister under the Pinera administration

has not met with the patent holder to explore alterative paths to avoid a potential compulsory

license.

The combined efforts at the legislative and executive level of the Chilean government to issue a

compulsory license without reasonable discussion of alternative mechanisms to address access

concerns with the patent holder is of chief concern to BIO and its membership.

Compulsory licenses should be granted in accordance with international agreements and only in

exceptional circumstances. Furthermore, compulsory licensing decisions should be made through

a fair and transparent process that involves participation by all stakeholders. Priority should be

given to a partnership or mutually accepted resolution with the patent holder. BIO feels strongly

that compulsory licensing is not an effective nor sustainable way to address a country’s

healthcare needs, nor is it an indication of a strong national healthcare system, one that ensures

patient access to safe and quality medicines while supporting continued development of

innovative treatments. BIO urges the Government of Chile to uphold its commitments to protect

the intellectual property rights of foreign patent holders and to ensure that current, as well as

future, patients have access to innovative medicines.

Restrictive Patentability Criteria and Patent Prosecution Practices

Chile does not provide adequate protection of data that is required for submission in support of

applications for marketing authorization for biopharmaceuticals consistent with its obligations

under Article 17.10.1 of the U.S.-Chile FTA. Further, Chile does not provide data protection for

biological medicines as required under the same Article of the FTA and as required under

TRIPS. This protection is needed to justify introduction of biopharmaceuticals and encourage

sustained investments in further innovation. Chile does currently provide data protection for new

chemical entities for 5 years. However, for small molecules, the Chilean laws undermine this

protection by placing onerous conditions on the availability of this protection. They also provide

that such protection may be revoked for a broad range of poorly defined grounds, including

“reasons of public health, national security, [and] public non-commercial use,” among other

circumstances. Although to date it has rarely been invoked, such laws create uncertainty with

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respect to data protection and patent enforcement that are not consistent with Chile’s obligations

under either FTA with the United States or provisions of the TRIPS Agreement.

In addition, Chile’s patent laws do not provide sufficient patent term restoration, consistent with

obligations under the FTA, to fully compensate for unwarranted delays in the marketing

approvals process. Chile has established a system where requests for extension must be filed

within six months of the approval and no additional term is available unless the marketing

approval process lasts more than 1 year. The procedure itself lasts around 9 months from the

filing of the extension request to the final ruling by the Industrial Property Court, creating further

delay in extending patent terms.

The patent law in Chile also excludes transgenic plants and animals from patent protection,

thereby limiting the availability of meaningful protection for valuable biotech innovations. To

the extent that protection is available, significant backlogs delay ability to obtain rights essential

to adequately protecting these inventions.

Some members have encountered difficulty obtaining claims addressing dosage regimens (i.e.,

where drugs are administered at a specific dose or in combination with other drugs).

Patentability of claims should be analyzed based on all of the elements. In this sense, there is no

legal grounds to objecting to the dosage element; there should not be an assumption of non-

patentability as there currently appears to be.

Enforcement

Additionally, Chile is not in compliance with its obligations under Article 17.10.2 of the US

Chile FTA to refrain from granting marketing approval for a drug to a third party prior to

expiration of a relevant patent. This is highly important to prevent infringement and devaluation

of intellectual property assets of BIO member companies. The lack of protection is particularly

troubling in light of Chile’s clear obligations under the FTA.

China

For reasons provided in the following paragraphs, BIO requests that China be placed on the

Priority Watch List.

China’s large consumer market presents opportunities for U.S. biotechnology companies to

increase exports and create jobs in the United States. However, failure to adequately protect and

enforce U.S. IPR greatly affects BIO’s members. The China National Medical Products

Administration (NMPA) in May 2017, took initial steps to improve China’s IP environment by

proposing to establish new forms of regulatory data protection and patent linkage systems in

China. However, without coordination with the Chinese National Intellectual Property

Administration (CNIPA) to ensure corresponding revisions to China’s Patent Law, the

effectiveness of the patent linkage system to facilitate early resolution of patent disputes prior to

market entry of the follow-on product may be undermined. In addition, BIO continues to

advocate for China to align its patent administration practices with that of other patenting

jurisdictions, including regarding the treatment of supplemental data submitted in support of

pharmaceutical patent applications. Finally, while BIO welcomes NMPA’s proposal to provide

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six, six, and twelve years of data protection for innovative drugs, new orphan and pediatric

drugs, and innovative therapeutic biologics, respectively, it is important to ensure the

implementing measures take into account industry recommendations for best practices and do

not discriminate against foreign businesses, including small and medium-sized

biopharmaceutical enterprises.

Onerous regulatory requirements or standards that effectively act as localization barriers to trade

can compromise the global biopharmaceutical innovation ecosystem and create economic

inefficiencies as well as unnecessary burdens for enterprises. In this regard, BIO welcomes the

announcement by NMPA in 2017 to accept overseas clinical trial data to support drug

registration in China. Such policies, effectively implemented, would streamline and accelerate

the drug evaluation and approval process in China and improve patient access. However,

localized testing requirements in China, such as the biologics testing requirement and quality

testing of imported commercial products, continue to add unnecessary burden and delay time-to-

market of innovative therapies. Furthermore, China’s clinical research requirements involving

bio-samples and sampling materials, under the management of the Ministry of Science and

Technology, restrict cross-border transport of materials and data for clinical studies and limit

their applicability for future research. Finally, BIO continues to support harmonization of

China’s Pharmacopeia (ChP) requirements with international standards accepted by other

regulators. In some instances, the ChP requirements, as applied, create conditions that favor

domestic manufacturers and can result in unnecessary risks in the global drug supply chain.

Restrictive Patentability Criteria

Our companies have reported that CNIPA has imposed inappropriate limitations on the use of

post-filing data to satisfy inventive step requirements under Article 26.3 of China’s Patent Law.

BIO welcomed China’s commitment at the 2013 U.S.-China Joint Commission on Commerce

and Trade (JCCT) plenary meeting to address this concern, but China’s implementation was

mixed. In April 2017, China released its Amended Patent Examination Guidelines clarifying that

examiners must consider in their examination process certain post-filing supplemental data.

While the amended Guidelines are an important step forward, BIO members are concerned that

post-filing data is still not consistently being considered in connection with inventive step or

other issues associated with the adequacy of a patent application’s disclosure. BIO hopes that

this new provision will be implemented in such a way that supplemental data can be relied upon

to successfully respond to an examiner’s rejection based on adequacy of the applications to meet

disclosure requirements such as industrial utility and enablement. BIO urges USTR and other

U.S. agencies to work with China to ensure effective implementation of rules related to

consideration of supplemental data. Concerns remain that the bar for accepting post-filing data

remains high, especially at the Patent Reexamination Board (PRB).

In biotechnology applications, it appears that CNIPA does not consider the use of percent

identity or hybridization conditions unless they are specifically used in the working examples to

define breadth. As a result, bio-informatics methods of defining sequence scope deemed

acceptable in the patent systems of many countries are not recognized in China. This difference

is problematic as biotech research is expensive and developing the number of working examples

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necessary to cover all embodiments may not be possible. BIO urges China to consider

harmonizing its approach to this issue more closely to that taken by other major countries.

Patent Term Extensions

Another challenge for biotechnology companies in China involves the lack of patent term

restoration provisions to compensate for regulatory review and patent office delays. The patent

examination backlog at CNIPA and regulatory review delays at NMPA significantly curtail the

effective rights of IP owners. Many other nations include patent term adjustments for patent

review delays and patent term extensions to compensate for the time it takes to gain regulatory

approval for pharmaceutical and agricultural products. This is particularly true of China, which

permits development of a follow-on pharmaceutical product free of patent infringement

allegations (so-called Bolar provision). This attribute of China’s legal regime makes it more

important for innovators to be able to recoup the effective patent term lost as a result of

regulatory and patent office reviews.

In January 2019, China’s National People’s Congress announced draft amendments to the Patent

Law for public notice and comment, and BIO is encouraged by the proposal to authorize patent

term extensions for patents covering pharmaceuticals. However, the proposal contains

concerning conditions, including potentially restrictive eligibility criteria, which warrant further

clarification and revision. Industry has submitted comments to the NPC for consideration and

would welcome a timely and effective implementation of the policy.

Genetic Resource Disclosure Requirements

BIO continues to be concerned that Article 5 of China’s Patent Law prohibits patents for

inventions “relying” on genetic resources where the acquisition or use of those resources is

contrary to the “relevant laws and administrative regulations.” It is disappointing that the

ongoing Patent Law revisions o not appear to address this issue. This provision is ambiguous and

could result in the rejection of applications for deserving new and useful inventions, or even the

revocation of granted patents later found inconsistent with these provisions.

Furthermore, Article 26 of the Patent Law requires patent applicants to indicate the “direct

source” and the “original source” of genetic resources if the completion of the claimed invention

relies on genetic resources. These provisions are intended to implement provisions of the

Convention on Biological Diversity (CBD) relating to access to genetic resources and equitable

sharing of benefits from utilization of these resources. These special disclosure requirements are

ambiguous and as a result impose unreasonable burdens on patent applicants, subjecting valuable

patent rights to great uncertainty. Moreover, the Implementing Regulations define “genetic

resource” to include “material from the human body.” This goes beyond the scope of the CBD,

which excludes human genetic resources. Including human genetic resources however makes

the disclosure obligations of even greater concern to BIO members.

The amendments concern BIO as they could prevent the issuance of patents for new and useful

biotechnology inventions, or perhaps the revocation of granted patents later found to not fully

comply with these provisions. Thus, BIO suggests that these requirements should be deleted.

Alternatively, if the rules remain in force, we suggest that the initial burden shift to the examiner

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to first identify which material the applicant must show “direct” and “original” sources for.

Without such initiative by the examiner the disclosure requirement should not apply. It is also

suggested that any disclosure requirement be limited to the disclosure of the direct source from

which biological material - that is directly claimed in the patent application – is obtained.

In February 2016, China’s Ministry of Science and Technology released the proposed Regulation

on Human Genetic Resources for public comment. BIO is concerned that the draft regulation

defines “genetic resource” to include “data and other information” resulting from human genetic

resources. Further clarification is also needed on certain provisions in the proposed regulation,

including ownership requirements, potential restrictions on procurement, and collection activities

that would exclude foreign funded legal entities.

Effective Patent Enforcement

In comments provided at the request of the United States Patent and Trademark Office BIO’s

identified14, several issues that make it difficult to enforce a patent in China mainly involving the

Courts. Patent enforcement could be improved if BIO’s suggestions, summarized below, are

addressed.

Chinese law requires that the products actually be sold in China before a patent holder can bring

an infringement action. It is not enough to produce the infringing product, or secure regulatory

approval of the infringing product. Additionally, the Supreme Peoples’ Court has cautioned

lower courts from issuing preliminary injunctions for ‘complicated’ technologies (like

biotechnology). BIO believes that China needs to adopt amendments to the Patent Law that

facilitate early initiation and resolution of IP disputes in the pharmaceutical context before

follow-on products are marketed.

NMPA, in the current Provision for Drug Registration Administration, does provide a basic

mechanism that require patent notification by patentees and the submission to NMPA of

“statement of non-infringement” in cases where another party holds a valid patent and allows

generic applicants to submit their application no earlier than 2 years before the expiry of the

patent. However, NMPA has not made the statements publicly available. BIO considers the

current system ineffective in preventing the regulatory approval and sale of infringing drugs in

China. More concerning is the revised draft Provision for Drug Registration Administration

have proposed to remove significant portions of the basic mechanism and may further erode

patent enforcement.

In 2017, NMPA finalized its priority review policy that provides accelerated regulatory review

and approval to eligible drug applications. One of the eligibility categories is if the drug

application meets “urgent and unmet medical needs.” However, to date, China has not provided a

definition for “urgent and unmet medical needs”. Furthermore, BIO is concerned that generic

drug applications may be granted priority review and approval by NMPA in cases where another

party holds a valid patent.

Even when our innovator company wins an infringement suit, damages are insufficient to cover

the true nature of the loss. China provides statutory compensation for infringement, which is

14 See http://www.bio.org/advocacy/amicus-brief/china-patent-enforcement-comments-uspto

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minimal and does not consider sales outside of China. When combined with the inability to get

preliminary injunctions, low damages mean that infringement is encouraged by China’s system.

Regulatory Data Protection (RDP)

Despite having a RDP system, no foreign drug products have effectively received data

exclusivity from China. China proposed a series of reforms in 2017 and 2018, including China

Food and Drug Administration (CFDA) Circular 55 - “Relevant Policies on Protecting

Innovator’s Rights to Encourage New Drug and Medical Device Innovation”, released in May

2017, to strengthen its regulatory data protection regime and to establish a patent linkage system.

In April 2018, NMPA released the draft “Measures on the Implementation of Drug Clinical Trial

Data Protection (For Trial Implementation)”, which, as written, would provide six and twelve

years of data protection for innovative pharmaceuticals and biologics, respectively. While BIO

welcomes this positive movement, the proposal also includes concerning location- and time-

based eligibility requirements. Specifically, the proposal would condition the terms of IP

protection based on number of locally conducted clinical trials, as well as requiring foreign

companies to launch the innovative product first, or simultaneously, in China – which can

potentially delay the introduction of new therapies in other jurisdictions. More importantly, for

small emerging biotech companies that are responsible for more than 75 percent of the medicines

in the innovation pipeline in the U.S. biopharmaceutical industry, these proposed onerous

requirements could inhibit market access.

China is the second largest pharmaceutical market in the world, and BIO member companies are

incentivized to seek marketing approval promptly in China without the need for onerous

regulatory requirements. Moreover, as noted, imposing an arbitrary window for seeking

marketing approval in order to qualify for full RDP could have negative effects. For example,

some companies may have an important reason for delaying entry into the China market, such as

a need to conduct additional testing to address safety concerns due to an adverse event in another

market. Furthermore, emerging biomedical companies that are small and medium-sized

enterprises (SMEs) may not have either the resources or the expertise in global marketing of

products to meet the RDP requirement.

BIO is closely monitoring the revisions to the Drug Administration Law (DAL), the Provisions

for Drug Registration (DRR), and, as appropriate, the Regulation for the Implementation of the

DAL, to ensure the proposed policy revisions are transparently and expeditiously implemented in

a manner that provides for robust and effective IP protection for U.S. biopharmaceutical

companies. It is important to ensure the revisions take into account industry recommendations

for best practices and do not discriminate against foreign biopharmaceutical companies,

including SMEs.

Counterfeit Products

While China has taken steps to combat online sale of counterfeit and substandard medicine,

Chinese law requires proof that violations in counterfeit activity exceed threshold values before

authorities take any action. Although this provision does seem to recognize the limited resources

and prioritization of Chinese enforcement, violators have adjusted by operating in diffuse

networks to make enforcement more challenging.

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In addition, China requires U.S. companies to pursue enforcement actions related to counterfeit

products at the provincial level with no central coordination. This allows suspects to escape

prosecution through the use of diffuse networks to sell counterfeit goods. Local politics also

makes it difficult to affect change. Enforcement authorities generally are skeptical or dismissive

of infringement claims by local competitors and usually try to dissuade any attempt to use the

courts, preferring “local arbitration or mediation,” which tends to produce few results.

China is the world’s top manufacturer of pharmaceutical ingredients and is a leading global

exporter of active pharmaceutical ingredients (API). In China, manufacturers of bulk chemicals

that can be used as APIs are required to register with CFDA if the product manufactured is

intended for use in medicinal products. However, if a company manufactures a bulk chemical

that can potentially be used as an API but does not intend or declare that the bulk chemical will

be used in a finished pharmaceutical product, then CFDA would not serve as the competent

authority.

Furthermore, Chinese manufacturers that only export their products are not subject to regulatory

oversight or review. As a result, industry and media sources report that many bulk chemical

manufacturers produce and export API with little regulatory oversight. While these export

shipments may be legal, non-controlled products can be used for the manufacturing of precursor

drugs or counterfeit and substandard medicine at third countries, then exported to other

destination markets, including China. Company representatives were able to purchase counterfeit

goods in China and in jurisdictions outside of China indicating inadequate supply chain and

distribution controls. Internet pharmacies and other illicit distribution routes allow the

counterfeits to enter foreign markets with intellectual property protection for those products. At

the 2014 U.S-China Strategic and Economic Dialogue, China agreed, during the process of

revising the Drug Administration Law, to consider amendments requiring regulatory control of

the manufacturers of bulk chemicals that can be used as APIs, including “export only” producers

and distributors. BIO requests USTR to continue to promote more effective policy framework

and enforcement directed to combat the manufacturing and distribution of precursor chemicals

and counterfeit medicines in China.

Plant IP Protections

China has a plant variety protection (PVP) law in force, and its patent law excludes patent

protection for plant varieties. SIPO Guidelines however have broadened the patent exclusion to

any animal and any plant claimed in generic terms (i.e. beyond plant varieties). As a

consequence, the SIPO has created a significant gap in intellectual property protection for

inventions in the field of agriculture. Innovators of plant-based inventions cannot obtain

adequate protection for their inventions either with patents ("plants" broadly excluded from the

Guidelines) or from PVP (only applicable to plant varieties). Amending the SIPO Guidelines by

limiting the patent exclusion to "plant varieties" instead of "plants" (and "animal races" instead

of "animals") should remove this gap in protection for agriculture innovations.

Colombia

The Colombian patent law and government initiatives that put IP rights at risk raise a number of

concerns for BIO’s members. In light of these concerns, BIO requests that Colombia be placed

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on the Priority Watch List and to conduct an Out of Cycle Review to monitor the changing IP

and potential compulsory license developments.

Compulsory Licenses

In 2015, Colombia passed laws based on the National Development Plan (NDP) which includes

a mandate to the Ministry of Health requiring review of patents for possible compulsory

licensing. These provisions are directed to the healthcare sector, especially those relating to

pharmaceuticals. In 2016, the Ministry of Health, citing the laws passed under the NDP, issued

declaration 2475/2016 which declared a single drug product, imatinib, of public interest. The

declaration recommended that the National Pricing Commission make a mandatory price

reduction of the product. While this is not technically a compulsory license, such action

effectively undermines the patent rights of the innovator in a similar way.

In December 2017, the Colombian Ministry of Health and Social Protection issued Resolution

5246 in response to a petition filed by Fundación IFARMA on October 28, 2015 (hereinafter

“petition”). That Resolution initiated the procedure for declaring public interest (DPI) over

patents covering direct acting antivirals for the treatment of Hepatitis C. The DPI, if granted,

will effectively destroy the value of patents to which it is applied.

A DPI directed to a broad category of medicines, namely “antivirals for treatment of Hepatitis C”

is unreasonable and should not be permitted; the implementation of such an extreme measure

covering a broad range of products based on unspecified patents raises several issues of due

process and, moreover, would not be consistent with the international obligations of Colombia,

including those obligations under the TRIPS Agreement. We also understand that Hepatitis C

drugs were recently the subject of significant price reductions in Colombia and that there is no

indication that a health-related emergency regarding Hepatitis C exists in Colombia. The

Petition on the Resolution therefore appears to be deficient. BIO believes that the Resolution

should therefore be withdrawn or grant of a DPI refused.

Although to date the compulsory license has not been issued, the threat to BIO’s remains and

presents considerable concern and risk. Colombia will compromise the integrity of its intellectual

property regime if it proceeds with these measures, thereby undermining the introduction of

future scientific innovations. BIO therefore encourages USTR to use all available means to

minimize this threat to a harmonious IP environment with an important trading partner.

Patentability

There are other government initiatives that make obtaining IP rights difficult. For example,

Andean Community Decision 486, which applies in Colombia, denies patents to inventions of

“biological material, as existing in nature, or able to be separated, including the genome or

germplasm of any living thing.” The Andean Decision excludes the patenting of use claims. In

addition, application of Decision 486 denies BIO’s members protection in Colombia for

inventions in chemical polymorphs and isolates that are commonly patented in other

jurisdictions. These practices appear to be inconsistent with the requirements of Article 27.1.

Andean Decision 486 also requires that patent applications include requirements relating to the

acquisition or use of genetic resources if the relevant inventions “were obtained or developed

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from” genetic resources originating in one of the Andean Community countries (Bolivia, Peru,

Ecuador or Colombia). It similarly applies to inventions derived from traditional knowledge

originating in the Andean Community. As noted above, these types of requirements cause great

uncertainty over potentially valuable patent rights that result in significant risks for BIO’s

members. These requirements may result in the outright denial of patent protection for valuable

inventions. In addition, such requirements appear to be inconsistent with Colombia’s obligations

under the TRIPS Agreement.

Patent Infringement Adjudication

Colombia has not effectively implemented provisions of its Free Trade Agreement with the U.S.

that require mechanisms for resolving pharmaceutical patent disputes before entry of a follow-on

product. To implement these provisions effectively Colombia would need to provide

mechanisms for challenging patent validity in courts while applications for generic of biosimilar

marketing approvals are pending.

India

As an important U.S. trading partner, BIO members expect a fair and predictable IP environment

in India. BIO has noted some promising developments recently that may improve the protection

and enforcement mechanisms of IPRs. Efforts, for example, to advance with Patent Prosecution

Highway agreements with foreign Patent Offices are welcomed by BIO membership and

movement on these agreements would send a positive signal to the global biotechnology

community about the IP environment in India. BIO also recognizes recent amendments to the Drug

Price Control Order (DPCO) which exempts innovative drugs from price caps for five years and a

High Court decision ruling for the validity of a patent protecting a genetically modified cotton

seed. However, lack of concrete improvements and lack of resolution of long-standing IP concerns

continue to create a challenging and risky environment for BIO members. Accordingly, we

recommend USTR place India on Priority Watch List with an Out of Cycle Review.

Restrictive Patentability Criteria

Section 3(d) continues to be one of main IP issues in India. Section 3(d) of the Indian Patents Act

explicitly excludes from patentability new forms of a known substance that does not result in

“enhancement of the known efficacy of that substance.” This requirement, interpreted by India’s

Supreme Court to mean “therapeutic efficacy,” excludes from patentability many significant

inventions in the biopharmaceuticals area, such as new forms of known substances with improved

heat stability for tropical climates, or having safety or other benefits to patients that may not result

in “enhanced clinical efficacy” per se. This provision appears to be inconsistent with India’s

obligations pursuant to Article 27 of the TRIPS Agreement, which requires that patents be made

available to “any inventions … in all fields of technology, provided that they are new, involve an

inventive step, and are capable of industrial application.” Further, Section 3(d) effectively creates

an additional hurdle to patentability that is applied only to certain chemical products, and therefore

appears to violate the non-discrimination clause with respect to field of technology set forth in

TRIPS Article 27.

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This section is applied in a very generalized manner without providing any objective reasoning by

the Indian Patent Office (IPO), especially with respect to new chemical entities (NCE), wherein

the said NCE’s are neither mere discovery of new form of known substance or nor new use of

known substance.

BIO has expressed concern that the Patent Guidelines as applied are biased against pharmaceutical

patents and the Controller General (CG) indicated that the IPO would reconsider the Guidelines to

ensure that they do not result in a negative bias toward pharmaceutical patents. This situation has

in fact encouraged third parties to continue to misuse this section during opposition, appeal and

revocation proceedings, before the IPO, IPAB and Judiciary. There seems be no efforts by the IPO

to provide any further guidelines or clarifications in interpretation of this section during the

examination procedure.

Moreover, we have noted that there has been a significant increase in objections under Section

3(e) by the IPO, which deals with patenting of admixture. The existing guidelines with respect to

this section in Manual of Patent Office Practice and Procedure (MPOPP) are incomplete and

inadequate. The IPO continues to have a more individualistic approach in analysis, interpretation

and decisions while dealing with Section 3(e). All of this indicates that there is an increasingly

unpredictable environment for obtaining IPRs.

Patent Disclosure Requirement

India’s Patents Act requires applicants to disclose the source and geographical origin of biological

materials used to make an invention that is the subject of a patent application. Failure to identify

correctly the geographical source of a biological material can result in revocation proceedings.

These special disclosure requirements and the scope of what constitutes a genetic resource are at

best ambiguous, subjecting the validity of valuable patent rights to damaging uncertainty.

Plant Intellectual Property Protection

India adopted a plant variety protection (PVP) in 2005 but excludes patent protection for plants

per se in broad terms. As a consequence, innovators of plant-based inventions cannot obtain

adequate protection for their inventions either with patents ("plants" broadly excluded) or from

PVP (only applicable to plant varieties but not all crops). Amending Section 3(j) of the Patent Act

by limiting its exclusion to "plant varieties" instead of "plants" (and "animal races" instead of

"animals") should positively remove this gap in protection for agriculture innovations.

Regulatory Data Protection

India still has not implemented any meaningful protection for the data that must be generated to

support efficacy and safety claims of pharmaceutical and agricultural chemical products. Under

Article 39.3 of the TRIPS Agreement, in addition to providing trade secret protection, governments

must separately prevent unfair commercial use of regulatory test data.

The absence of regulatory data protection (RDP) is a significant problem for BIO members

because India’s drug regulatory agency approves generic company applications to market generic

drugs based on an abbreviated submission that includes reliance on the innovator’s safety and

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efficacy data. This creates an unfair commercial advantage for Indian generic companies. BIO

urges India to implement effective and meaningful periods of regulatory data protection.

Effective Patent Enforcement

Central government and State regulatory authorities are not required to verify or consider the

remaining term of any existing patents. Accordingly, generics are approved without regard to

patent term of originator product. BIO supports development of a notification and early resolution

mechanism for patent disputes to give innovators security in knowing that their efforts in creating

a new drug will be respected for the duration of the patent period similar to patent linkage in the

U.S. CDSCO’s recent effort to reform the SUGAM initiative under draft Notification GSR 629(E)

provides an opportunity to facilitate the notification of manufacturing applications between

government agencies and patent holders. BIO members urge the Ministry of Health and Family

Welfare (MOHFW) to take immediate steps to increase transparency and cooperation between

central and state medicines regulatory authorities. At a minimum, MOHFW should ensure all

biopharmaceutical manufacturers, the relevant Indian authorities and the broader public have

timely notice of marketing and manufacturing applications filed with central and state regulators.

There is also a lack of a proper mechanism for controlling, stopping and prosecuting entry of

counterfeit patented non-approved drugs in India through its porous borders. There has been a

significant number of counterfeit drugs entering from Bangladesh and Sri Lanka in India.

Compulsory Licensing

Provisions of the Indian Patents Act provide broad authority for the issuance of compulsory

licenses, including authority on the basis that the patented products are not “worked”

(manufactured) in India. In a 2012 case involving a BIO member, a compulsory license was issued

on these grounds. This decision was not overturned on appeal. Recent cases have since been

brought, however, courts seem to have moved from this working doctrine as the justification for a

compulsory license. Nevertheless, the lack of any clear guidelines/clarifications from the IPO, still

presents a challenge and the threat of compulsory licenses remains.

For instance, the Patent Office requires all patentees submit a yearly “statement of working” that

proves that the patentee is exploiting its invention in India.15 If the company does not comply, the

government may issue a compulsory license. This provision may result in the loss of intellectual

property rights in India when a biotechnology company cannot “work” a medicine due to

extraneous conditions (such as a USFDA “clinical hold”). There remain uncertainties as well as to

whether the importation of patented drugs satisfies the working requirement, despite consultations

with stakeholders and deadlines to provide some clarity on the matter.

BIO members are also concerned about the non-transparent manner in which the Ministry of

Agriculture (MoA) issued Gazette Notification No. 1236 dated May 18, 2016, prescribing

licensing guidelines and formats for genetically modified technology agreements. The notification

prohibited the licensor of an approved genetically modified agricultural technology to refuse grant

of a license to any eligible seed company wanting to incorporate it into its own hybrids or varieties,

15 http://www.ipindia.nic.in/iponew/publicNotice_21January2015.pdf

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which has the practical effect of a compulsory license. BIO encourages the MoA to involce all

stakeholders before finalizing the Guidelines.

Administrative Burden and Delay

Another concern involves extensive delays in examination that sometimes occur as a result of

opposition procedures. Companies often wait for years for a patent application to enter into the

examination process only to have the claims opposed in a pre-grant proceeding. The additional

delay in the process results in applications being held up indefinitely, resulting in the loss of the

majority of the effective patent term. Companies have also reported delays in the post-grant

opposition proceedings. Companies have reported waiting years for a decision. The existence of

both a pre- and post-grant opposition proceedings – as they are currently applied - create problems

as a U.S. company that survives a pre-grant opposition proceeding can then later face a post-grant

proceeding from the same opponent.

For example, pre-grant opposition procedures under Section 25 of India’s Patents Act have created

significant uncertainty and delayed the introduction of new inventions by undermining patent

office efficiency and delaying patent prosecution – exacerbating India’s already significant patent

examination backlog. The provision of Pre-grant opposition allows, any party to file a pre-grant

opposition, any time after the publication of patent application till the grant of patent. This has led

to many frivolous multiple pre-grant oppositions being filed by third parties or individuals, many

of such frivolous pre-grant oppositions being filed just near the prosecution hearing proceedings

or before the grant of patent or near the issuance of Examination Report. This had led to delay in

grant of patent and can be considered a delaying tactic by third parties.

The Indian generic industry routinely uses this opposition process to delay the grant of U.S.

biotechnology patents in order to produce their own legal copies of products that otherwise should

be enjoying meaningful patent protection in India as they do in other countries. Patent term

extensions to compensate for such losses do not exist in India, further exacerbating the problem.

Due to the broad nature of post-grant challenges, unlimited pre-grant opposition should be

curtailed to better reflect international practice. The ability of third parties to submit references

prior to patent grant are sufficient and should be the preferred method of challenge pre-grant.

Naturally, these challenges make the process of obtaining an IPR in India a costly and risky

endeavor.

The Patent Division of the IP Appeal Board (IPAB) continues to remain non-functional despite

the appointment of a new chairman in January 2018 primarily because the position of patent

technical member remains vacant. This lack of functionality in the IPAB patent division has not

only significantly increased the backlog of pending patent appeals but it has significantly impeded

the issuance of many patents. BIO strongly urges that a patent technical member be appointed as

soon as possible so that Patent Division of IPAB becomes functional.

Preliminary Injunctions

The Indian Courts have taken steps to issue Preliminary Injunction (PI) during litigation

proceedings, however, there still appears to be substantial inconsistency in the manner in which

PIs are issued. The courts issue PI’s by inconsistent application of the “status quo doctrine”. In

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many instances, the courts have misapplied the legal doctrine by treating the infringement that

precedes or accompanies the request for preliminary relief as part of the “status quo” and thus

rejecting the issuance of an injunction or even limiting its scope. Consistency in determining PIs

will encourage investment decisions and will also enable pre-litigation negotiations between the

litigating parties.

Effective Patent Enforcement

CDSCO’s recent effort to reform the SUGAM initiative under draft Notification GSR 629(E)

provides an opportunity to facilitate the notification of manufacturing applications between

government agencies and patent holders. BIO members urge the Ministry of Health and Family

Welfare (MOHFW) to take immediate steps to increase transparency and cooperation between

central and state medicines regulatory authorities. At a minimum, MOHFW should ensure all

biopharmaceutical manufacturers, the relevant Indian authorities and the broader public have

timely notice of marketing and manufacturing applications filed with central and state regulators.

Indonesia

In addition to discriminatory IP policies, BIO members have concerns with listing decisions that

take into account price and the Social Insurance Administration Organization’s budget and do

not reflect all of the evidence submitted, including scientific data demonstrating drugs’ safety

and efficacy. Furthermore, Halal certification represents a mandatory labeling requirement that

could have unexpected negative implications on patient health. BIO’s concerns for specific

provisions of the new patent law are summarized below.

For reasons provided below, BIO urges USTR to place Indonesia on the Priority Watch List.

Restrictive Patentability Criteria

The 2016 Patent Law precludes patents on new uses and establishes an additional patentability

criterion of “increased meaningful benefit” for certain forms of innovation prominent in

biopharmaceutical technology (i.e. new salts or new dosage forms). These restrictions undermine

support for important innovations and appear to conflict with existing international obligations by

imposing additional or heightened patentability criteria that discriminate against classes of

technology.

TRIPS requires that patents be available for inventions that are new, involve an inventive step, and

are capable of industrial application. The Patent Law impermissibly adds a fourth substantive

criterion for chemical innovations of “increased meaningful benefit” to the three criteria set forth

in Article 27 of TRIPS. Adding a fourth substantive hurdle to patentability for specified

technologies is discrimination that harms members of BIO and should not stand scrutiny under

Indonesia’s international obligations.

Article 27 of TRIPS also requires grant of patents in “all fields of technology, provided they are

new, involve an inventive step and are capable of industrial application”. This prevents

discrimination against a field of technology and barring patents on new uses or indications violates

that prohibition. These are misguided policies that discriminate against innovators who build on

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prior knowledge to develop valuable new and improved treatments that can improve health

outcomes and reduce costs by making it easier for patients to take medicines and improving patient

adherence to prescribed therapies.

In addition, Indonesia’s Patent Law states that a patent holder shall produce a product or use

processes in Indonesia – such policies are not only inconsistent with Indonesia’s international trade

commitments, they are effectively forced localization and technology transfer policies that benefit

the domestic industry at the expense of foreign innovators.

Compulsory Licensing

In September 2012 Indonesia issued a decree authorizing government use of patents for nine

patented pharmaceutical products as a group without dealing with the products and relevant

licenses on a case-by-case basis. This raises significant concerns about consistency with

Indonesia’s TRIPS obligations and other international norms. TRIPS Article 31(a) requires such

licenses be considered on a case-by-case basis rather than as a group. Article 31(i) also requires

the ability to appeal the compulsory license to a judicial or other independent body. No such

appeal seems to be available in Indonesia.

The indiscriminate use of compulsory licenses draws investment away from the biotechnology

sector that is heavily reliant on patents to generate investment funding. Indonesia’s actions on

compulsory licensing are inconsistent with their stated desire to create an enabling environment

for innovation in the life sciences.

The Patent Law creates additional uncertainty by discouraging voluntary licensing agreements

between private parties and by promoting compulsory licensing on grounds that are vague or

appear to be inconsistent with Indonesia’s international obligations. Provisions of the new law

appear to require disclosure of private license agreements and allow compulsory licensing if a

patented product subject to the agreement is not manufactured in Indonesia. Requiring disclosure

of private agreement terms would in itself discourage entry into such agreements to the detriment

of Indonesia. That is compounded by a local manufacturing requirement that also appears to

contravene Indonesia’s national treatment obligations pursuant to which manufacturers should be

able to meet the “local working” requirements through importation.

BIO members believe that CLs are not a sustainable or effective way to address healthcare needs.

Voluntary arrangements independently undertaken by member companies better ensure that

current and future patients have access to innovative medicines. BIO members urge Indonesia to

work with BIO members to develop sustainable solutions to access problems while maintaining

support for IP mechanisms fundamental to development and dissemination of new medicines to

patients in Indonesia.

Regulatory Data Protection

Indonesia does not provide adequate regulatory data protection that prevents “unfair commercial

use” of regulatory data on pharmaceutical and agricultural chemical products as required by

Article 39.3 of the TRIPS Agreement. The introduction of effective data protection for regulated

pharmaceutical and agricultural chemical products would contribute significantly to providing

adequate and effective protection of intellectual property rights in Indonesia for BIO’s members.

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Patent Term Extension

In addition, there are no provisions for patent term extension in appropriate circumstances. This

has a detrimental effect on the value of biopharmaceutical patents in Indonesia.

Counterfeit Medicines

BIO’s members also report problems with counterfeit medicines, despite recent steps taken by

Indonesia that include the establishment of a National Anti-counterfeiting Task Force. The lack

of expertise and resources in the courts and law enforcement agencies create problems for BIO

companies. Corruption at the local police level is another challenge in Indonesia when trying to

enforce a patent. BIO requests that USTR further engage with Indonesia to put in a place a

system that provides adequate and effective protection for intellectual property rights.

Counterfeit biopharmaceuticals produced in Indonesia also pose a substantial safety risk for

patients. More international oversight is required to regulate the normal distribution channels of

counterfeits including internet pharmacies. Enhanced education in the medical sector could help

warn of the dangers of obtaining dangerous counterfeit medicines from unauthorized suppliers.

Annuity Fees

The Indonesian Patent Office recently issued invoices for past annuity payments on previously

abandoned patents which were not expressly withdrawn from the patent office. Annuity

payments are the renewal fees innovators pay to maintain a granted patent. The invoices

received from the Indonesian patent office represent up to 3 years of annuities as well as back

taxes if due. The amounts are significant and if companies do not pay, they have been threatened

with property seizure. This practice is not in line with the major patent offices and it is one that

USTR should raise in anticipation of potential negotiations with the Government of Indonesia.

Plant Variety Protection

In addition, while Indonesia has implemented a plant variety protection (PVP) system, BIO

members report that the level of protection is inconsistent with the International Convention for

the Protection of New Plant Varieties. The lack of appropriate protection for new plant varieties

remains a crucial issue for BIO’s agricultural members.

Japan

BIO recognizes Japan’s continued efforts to reward innovation in its regulatory framework and

to improve efficiency in its drug evaluation and approval system. However, BIO member

companies are concerned that the new drug pricing reform package, approved by the Central

Social Insurance Medical Council (Chuikyo) of the Ministry of Health, Labor and Welfare

(MHLW) in December 2017, will undermine the tremendous progress made by relevant

authorities to exalt Japan as a leading market in the global biotech ecosystem. Notably, the

revisions to the Price Maintenance Premium (PMP) program, the pending Health Technology

Assessment (HTA) system, as well as other changes to the pricing rules, may deprive innovators

in the United States and elsewhere of fair remuneration for their technology, divert American

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technology and jobs to Japan, and otherwise undermine, as well as undervalue, American

ingenuity and innovation.

BIO welcomes the inclusion of procedural fairness for pharmaceutical and medical devices in the

U.S.-Japan Trade Agreement (USJTA) Objectives. BIO supports a comprehensive USJTA and

the U.S. Government’s specified objective to “ensure that government regulatory reimbursement

regimes are transparent, provide procedural fairness, are nondiscriminatory, and provide full

market access for U.S. products, particularly under relevant Japanese measures.”16

Cross-border collaboration in the biopharma sector has intensified in recent years between the

United States and Japan, in part because of important progress and reform within Japan’s drug

regulatory system that now approves products on a similar time frame as the United States.

Advances in scientific research in both countries have also increased the opportunities for

collaboration. However, a variety of aspects of Japan’s system for pricing and reimbursing new

drugs now threatens to hinder innovation in Japan, and with it, opportunities that small, medium-

sized and large biopharma companies in the United States have to develop and launch new drugs

in Japan. Some of these developments particularly make it difficult for small companies to

consider developing and launching in Japan. Accordingly, BIO recommends USTR place Japan

on the Priority Watch List.

Technology Localization and Impact on Small and Medium Sized Enterprises

Under the new PMP program, eligible companies must satisfy specific criteria in order to receive

the full pricing premium, including requirements on the level of R&D conducted in Japan.

Eligible companies that do not meet the requirements would receive a reduced level of the

premium. Such policy would not only provide preferential treatment to domestic firms at the

expense of foreign ones, but furthermore, it conditions the preferential treatment on R&D

localization, as firms will be judged on the number of localized clinical trials. It is particularly

concerning that eligible biopharmaceutical firms that are small and medium sized enterprises

(SMEs) are expected to be excluded from the full pricing premium under the program, as SMEs

typically have a lower level of R&D activities and investments in Japan compared to large drug

developers.

The restrictive PMP criteria, which effectively discriminate against SMEs, appear to be contrary

to the pro-innovation policies of the Japanese government. SMEs, which constitute the vast

majority of BIO’s member companies, are a critical innovation force in the biomedical industry.

These life sciences start-ups and emerging biotech companies are responsible for 70% of the

global clinical pipeline and 84% of all Orphan-designated products in development17. As the

eligible SMEs lack the necessary resources and pipeline to satisfy the localization requirements,

exclusion from the full pricing premium may encourage American SMEs to out-license early

stage drug development and transfer technology and intellectual property to enterprises in Japan

in order to ensure their innovative products are appropriately valued.

16 United States-Japan Trade Agreement (USJTA) Negotiations: Summary of Specific Negotiating Objectives.

USTR, December 2018. 17 Emerging Therapeutic Company Investment and Deal Trends, David Thomas and Chad Wessel. BIO Industry

Analysis. 2016.

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Non-transparent Nature of Pricing and Reimbursement (P&R) Policy Making

BIO has long been concerned with the non-transparent, and non-inclusive nature of policy

making with respect to P&R for new drugs. In particular, we find the Chuikyo process seriously

defective with regard to its provision of advance notice of issues to stakeholders, and its limited

opportunities for such stakeholders to engage. We believe it is unfair for one of the world’s

largest markets for new medicines to do such a poor job of reaching out to the U.S. biotech

community – which originates a large number of all new medicines globally – for its input.

Outreach to large U.S. companies located in Japan is also deficient, but even that does not

include any input by our SME members, which are the backbone of this industry.

Systemic Discrimination Against Innovative Medicines in the Budgeting Process –

Undervaluation of Innovation

BIO recognizes that the Japanese health care system faces fiscal constraints. But time and again,

we find that health care budgets disproportionately limit spending on new innovative medicines

(e.g., the percentage of budgetary cuts far exceed our percentage of health care expenditures)

compared to other health care services and products, despite the fact that many new medicines

create significant health care savings in the longer run. Bluntly put, new medicines which are

predominantly developed abroad (mostly in the U.S.) face much deeper cuts than Japanese

constituents in the health care system such as doctors and hospitals. This is not only unfair and

discriminatory, it systemically works to undervalue new medicines and therapies, undermines IP,

and stunts incentives for biopharma innovation within Japan.

A Rigid Health Technology Assessment (HTA) in Japan Could Exacerbate the

Trend of Anti-Innovation

BIO is concerned that existing plans to develop a rigid cost-effectiveness-based HTA system, to

be announced in March 2019, will be constructed in ways that further disincentivizes innovation

in Japan, add to costs (particularly burdensome for small companies) and potentially delay

patient access to new medicines. In addition, the methodology used by the Government of Japan

in its HTA pilot, on which the HTA system will be based, was not developed in a transparent

process and deviates from standard methodologies aligned with the latest available science. The

process and methodology should be revised in a transparent manner prior to establishment of

HTA in Japan. Any future HTA system needs to encourage innovation, not be unduly

burdensome, incorporate a broad set of benefits in the value framework, and not simply be used a

tool for rationing care to Japanese patients.

Regulatory Data Protection

In accordance with the Trade Promotion Authority Act requiring the U.S. government to

leverage trade agreements to bring our trading partners in line with U.S. standards for intellectual

property rights, BIO strongly believes the U.S. standards of data protection for biologic products

(12 years) remains the gold standard and should be the basis for negotiations with Japan. The

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recently concluded US-Mexico-Canada Agreement presents a strong foundation from which to

build and achieves a standard closer that U.S. law. In addition, BIO would welcome a strong

patent enforcement mechanism, including patent term restoration to address patent examination

delays.

BIO continues to urge the Japanese government to ensure robust and consistent stakeholder

consultation as it implements the new drug pricing reform package, so to assure predictability

and transparency of the drug pricing system in the Japanese market. As the United States and

Japan have been engaged in intensive bilateral trade talks involving the biopharmaceutical sector

for over 30 years – starting with the advent of “MOSS talks” in 1986, there is a rich record of

discussions, agreement and achievements up which to build in any new Trade Agreement.

Russia

BIO members continue to experience challenging problems in Russia that lead BIO to request

that USTR place Russia on the Priority Watch List.

IP Enforcement

Patent enforcement against infringing companies remains a large concern, especially against

local Russian companies.

Preliminary Injunctions

In Russia, an innovator cannot sue for patent infringement upon first learning of a request for

generic marketing approval. Rather the patent-holder must wait until the generic drug is

approved. Russian courts compound this problem by not typically granting preliminary

injunctions or even permanent injunctions at the end of successful litigation.

Procurement Processes

On December 5, 2016, the Ministry of Health put forward draft regulations to restrict identifying

criteria for medicines in the state procurement process; dosage form, treatment method or other

characteristics would no longer determine eligibility, only an International Nonproprietary Name

(INN) would be required. This would further undermine incentives to innovate and the quality,

safety and efficacy of treatments available to patients.

Regulatory Data Protection

The Law on the Circulation of Medicines sets forth the basic regulations for biologics and

biosimilars. A revision to Federal Law 61 allows follow-on manufacturers to apply for

registration of a generic drug four years following marketing authorization for original small

molecule drugs and three years for an original biologic medicine (4+2 and 3+3). Without

adequate enforcement mechanisms (noted above), the generic can be placed on the market prior

to the expiration of the six-year data protection period. The biopharmaceutical industry is

concerned that the amendments to FL 61 will further weaken RDP in Russia.

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Unclear Regulatory Standards for Orphan Drugs

Access to the Russian market for orphan drugs is also impacted by unclear and changing

regulatory standards. Since 2013, the Russian Ministry of Health (MOH) has amended the rules

for the inclusion of drugs into the Vital and Essential Drugs List (EDL). The amendment

process delayed the updating of this list to include new drugs. The regulation went through

several drafts with changes to the submission template, assessment timelines and criteria, and the

information requirements until it was finalized in May 2014.

Compulsory Licenses

More recently, senior Russian government officials have indicated a desire to more

systematically use compulsory licensing to address access and pricing. For example, the Russian

Federal Antimonopoly Service (FAS) is seeking expanded compulsory licensing provisions,

which would mean pharmaceutical companies could lose their exclusive rights to certain

products. Additionally, under TRIPS Art. 31(l), codified under article 1362 of the Civil Code, a

Court may grant a compulsory license if the invention claimed in a second patent (the dependent

patent) involves a technical advancement or has economic advantages over the first patent. The

courts in Russia have misapplied this law. Multiple cases were filed by local firms for the local

production of generic versions of innovator oncology drugs based on their own dependent

patents. This raises serious concerns about the ability of innovators to meaningfully enforce

patents in Russia and will discourage investors and innovators from bringing products into the

market. We urge the USG to monitor this situation closely and to encourage their Russian

counterparts to avoid misuse of this tool.

Parallel Importation

The Eurasian Economic Union (EAEU) comprised of Russia, Belarus Kazakhstan, Armenia, and

Kyrgyzstan, entered into force on January 1, 2015. The EAEU envisages the gradual integration

of the former Soviet countries' economies, establishing free trade, unbarred financial interaction

and unhindered labor migration. The first sector which it plans to integrate is the pharmaceutical

sector through creation of a single pharmaceutical market. There is discussion of using the

framework to facilitate parallel importation of cheaper medicines into the Union. On November

16, 2016, the EAEU Intergovernmental Council approved the main suite of regulations necessary

to set up a common pharmaceutical market in the EAEU so the regulations must now be

approved and implemented at the national level. The potential reliance on parallel importation

and the counterfeit and economic problems it can bring are concerns for BIO members that

warrant further attention.

Counterfeit Medicines

With respect to counterfeit medicines, the Russian Parliament adopted new legislation aimed at

criminalizing (1) counterfeiting and (2) distribution of counterfeited and falsified medicines,

falsified biologically active supplements, unregistered medicines, and medical devices. The law

became effective in January 2015 and reflects the serious public health concerns associated with

the distribution of fake and potentially dangerous medicines to patients. BIO’s member

companies are encouraged by this legislation, but close monitoring will be necessary to ensure

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enforcement, as well as active participation in discussions around developing an effective

tracking system for medicines in the EAEU.

Government Procurement

Despite statements expressing support for accession to the WTO Agreement on Government

Procurement (GPA), Russia continues discriminatory practices in its government procurement

system. Russia has adopted a regulation that bans foreign participation in tenders in cases where

two or more companies from the Eurasian Economic Union (EAEU) have bid to supply

medicines included on Essential Drugs List. Moreover, Russia has maintained its policy of

providing locally made pharmaceuticals a 15% price preference in government procurement

tenders and is considering legislation that would disqualify imported products from the tender

process if local active pharmaceutical ingredient (API) is available. These discriminatory

practices are a significant concern for the biopharmaceutical members of BIO.

Saudi Arabia

BIO members continue to face significant IP challenges in Saudi Arabia and seek assurances that

patents will be protected and enforced. Accordingly, BIO recommends USTR place Saudi Arabia

on the Priority Watch List.

Though Saudi Arabia introduced a patent linkage system in 2013, we have seen some significant

issues with intellectual property in the Kingdom. The Saudi Food and Drug Authority (SFDA)

has effectively overridden the country’s linkage regime by granting market approval for a

follow-on product to a patented medicine. Instead of providing the rightful legal action, the Saudi

government has put the onus on the innovator and infringing company, a local Saudi

manufacturer, to deal with the situation.

This follows the 2016 violation of regulatory data protection involving an innovative hepatitis C

medicine. The Saudi Food and Drug Authority (SFDA) granted marketing authorization and set

prices for two unauthorized generic copies of the medicine to two local companies, apparently

relying on test data submitted by the innovator. Compounding the problem of infringement, the

Ministry of Health proceeded with procurement of one of the infringing products despite

multiple appeals from the innovator company. A local company is now distributing this

unauthorized copy to the Ministry of Health and selected hospitals.

While Saudi law provides for regulatory data protection, in practice it is not applied effectively.

Specifically, Article 5 of a Council of Ministers’ Trade Secrets Protection Regulation (decision

No. 50, dated 25/2/1426 H, April 4, 2005), states that the submission of confidential tests or

other data, obtained as a result of substantial efforts, for the approval of the marketing of drugs

or agricultural products which utilize a new chemical entity, shall be protected by the competent

authority against unfair commercial use for at least five years from the approval date.

Unfortunately, the Kingdom of Saudi Arabia has not complied with its own regulation and WTO

commitments which gave rise to the regulations.

Saudi Arabia confirmed during its accession to the WTO that:

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“[Its] Regulations provided for protection of undisclosed tests and other data

submitted to obtain approval of a pharmaceutical or agricultural chemical against

unfair commercial use for a minimum period of five years from the date of

obtaining the approval including the establishment of the base price. No person

other than the person who submitted such data could, without the explicit consent

of the person who submitted the data, rely on such data in support of an

application for product approval. Any subsequent application for marketing

approval would not be granted a market authorization unless the applicant

submitted its own data, meeting the same requirements applied to the initial

applicant, or had the permission of the person initially submitting the data to rely

on such data.” 18

Member companies have approached Saudi authorities concerning the need to enforce their

regulations on regulatory data protection; yet authorities insist they are not sharing the content of

the drug registration file of the innovator product—deflecting from the substance of the

complaint.

The WTO Agreement on Trade-Related Aspects of Intellectual Property Rights (TRIPS),

however, imposes more than a non-disclosure obligation. Rather, TRIPS Article 39.3

additionally requires WTO member states to implement an effective system of pharmaceutical

drug registration, which prevents “unfair commercial use” of data generated by others.

This is fulfilled by preventing reliance on regulatory test data and approvals based on such data

for a fixed period of time. In other words, the data may not be used to support marketing

approval for follow-on products for a set amount of time unless authorized by the original

submitter of the data.

Issues of patent infringement and the lack of regulatory data protection enforcement are greatly

concerning in this G-20 economy, as was the Saudi Governments refusal to engage the industry

or affected companies for many months as the crisis deepened. This negative development for

Saudi Arabia and runs counter to the goals and general principles of both the Vision 2030 and

National Transformation Program 2020.

South Korea

BIO requests that USTR place South Korea on the Priority Watch List for pricing and

reimbursement policies that undervalue innovative biopharmaceutical products, deficiencies in

their intellectual property system, and failure to adequately implement their free trade

obligations. As USTR engages South Korea in the context of KORUS, we request the following

issues be prioritized.

Pricing and Reimbursement Policies

BIO member companies are concerned with the lack of robust enforcement of the KORUS

provisions on innovation, IP and market access. Despite commitment under KORUS to value

18 Report of the Working Party on the Accession of the Kingdom of Saudi Arabia to the World Trade Organization,

WT/ACC/SAU/61 (Nov. 1, 2005) ¶ 261.

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U.S. innovation appropriately, S. Korea continues to restrict the pricing of innovative medicines

through an unreasonable valuation scheme. For example, the government seeks to significantly

reduce the price of innovative products by linking prices of newly patented products to the

discounted prices of off-patent and generic products. In addition to the lack of recognition of IP

in its pricing and reimbursement scheme, the Korean government also conditions preferential

pricing policies on various performance requirements, including localized manufacturing and

R&D, joint partnerships with domestic firms, as well as “social contribution”.

BIO commends the U.S. Government for its efforts to improve KORUS through negotiations and

for securing an outcome on pharmaceutical reimbursements in 2018 that calls on the S. Korean

Government to amend its Premium Pricing Policy for Global Innovative Drugs to make it

consistent with Korea’s commitments under KORUS to ensure non-discriminatory and fair

treatment for U.S. pharmaceutical exports. To this end, Korea’s Health Insurance Review and

Assessment Service (HIRA) committed to publishing a draft amendment to its pricing policy by

October 31, 2018, with the purpose of implementing the amendment no later than December 31,

2018. In addition, HIRA agreed to allow for meaningful and transparent consultation with U.S.

stakeholders.

Burdensome Data Requirements for Patent Applications

South Korea’s data requirement for patent applications raises concerns similar to those noted in

respect to China. South Korea should modify its rules of practice to allow companies to

supplement the data contained in original patent applications during patent prosecution and post-

grant validity challenge proceedings, as is allowed in most other countries.

South Korean patent law requires that for a medicinal use invention, the original specification

(i.e., the international application in most cases) must contain quantitative pharmacological data

for at least one specific active ingredient, unless the pharmacological mechanism was established

prior to the filing date of the patent application.19 If such pharmacological data is not included in

the original specification, the application will be rejected (or the granted patent subsequently

invalidated). Moreover, South Korea does not permit the applicant or patent owner to submit

such data in response to an office action or post-issue invalidation proceeding.20 If an invention

is based on a finding of little or no side effects or toxicity, South Korean patent law still requires

that data supporting such effects be contained in the original specification.

The extreme pharmacological data requirement in Korea creates unfair, discriminatory obstacles

for innovative biopharmaceutical companies. Moreover, almost all other countries’ patent

offices do not require that amount of pharmacological data in the original application, or those

offices allow submission of such data during patent prosecution. Consequently, many

19 This requirement has been strictly interpreted by the courts and the Korean Patent Office: Disclosing the IC50

range for a group of compounds without specifying which compound provides which value is not sufficient to

satisfy the data requirement (see voluminous case law on this subject, including In re Allergan (Supreme Court Case

99 Hu 2143; November 27, 2001)). 20 Later addition of such data to the specification constitutes adding new matter and is not allowed [see, e.g., In re

Pfizer (Supreme Court Case 2000 Hu 2965; November 30, 2001)]. However, if the original specification contains

pharmacological data for at least one compound, it may then be possible to submit data for other compounds in

response to an office action that states that the claims are not adequately supported by data.

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biopharmaceutical inventions that are patentable in other countries are not patentable in South

Korea for failure to meet South Korea’s data requirement.

Another problematic aspect of South Korea’s data requirement is related to prior art references.

During the original patent prosecution or in post-issue invalidation proceedings, if a prior art

reference is cited against the application or patent in making an obviousness argument, the

applicant/patent owner is not allowed to submit any comparison data (or any other data) between

the invention that is the subject of the patent and the compounds in the prior art reference in

order to rebut the obviousness argument. This means that unless the patent applicant provides

comparison data in the original patent application to essentially every single reasonably close

prior art compound (which in many cases is a practical impossibility), it is unlikely that the

patent will issue in South Korea or, if the patent issues, survive a post-grant validity attack.

Patent Linkage

Our members have reported problems with South Korea’s implementation of their patent linkage

obligations under their Free Trade Agreement with the United States. South Korea’s

interpretation of its obligations is quite narrow and leads to inequitable results. Moreover, the

Ministry of Food and Drug Safety (MFDS) may publish its own version of listed patent claims,

rather than the actual claims that the company submitted as part of the application process. The

MFDS does not provide applicants with a formal opportunity to comment on any changes to the

listed claims (although we understand they are informally notifying the company of any

changes). During appeals of these MFDS interpretations, extrinsic evidence is accepted only in

limited cases. In addition, the limited nine months stay against a generic filer is far from

automatic. MFDS can decline to impose a stay even if patents are duly listed in the Green Book.

These practices add uncertainty to IP protections for both innovators and generic manufacturers

and are inconsistent with Korea’s obligations under the FTA.

Thailand

BIO recognizes the Royal Thai Government’s efforts to create task forces dealing with IPR.

However, we remain concerned with policies relating to compulsory licensing of patents, as well

as the lack of significant progress relating to patentability of medical use claims and other

secondary inventions, regulatory data protection, and the need for a robust patent resolution

mechanism to prevent regulatory approval of generic versions of biopharmaceutical products that

are still covered by a valid patent. As such, we urge USTR and the U.S. interagency to continue

to engage relevant Thai authorities to address outstanding bilateral trade concerns affecting the

U.S. biopharmaceutical industry, including via the U.S.-Thailand Trade and Investment

Framework Agreement (TIFA), and to further strengthen the bilateral trade and economic

relationship between the two countries.

For 2019, BIO recommends Thailand be placed on the Priority Watch List.

Patentability

BIO recognizes the Thai government’s efforts to create task forces dealing with IPR and

appreciates this positive action. However, Thailand has undermined positive movement on IPR

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with patent examination guidelines for pharmaceutical products that limit the patentability of

medical use claims and other secondary inventions similar to Argentina’s new guidelines.

With regard to protections for plant innovations, Thailand has taken steps to implement a plant

variety protection (PVP) system, but the level of protection is inconsistent with the International

Convention for the Protection of New Plant Varieties. Strengthening the level of protection for

new plant varieties is critical for many BIO members.

Compulsory Licenses

The Thai Government’s continued support of compulsory licensing of patented pharmaceutical

products as part of its trade policy also contradicts positive efforts and indicates a continued

disregard for intellectual property rights that are critical for the development of new medicines.

In particular, BIO’s members are concerned that this policy denies adequate and effective

protection of intellectual property rights for innovative biotechnology products. BIO is aware of

efforts by the Thai government to develop a biotechnology sector and appreciates its outreach to

the biotechnology industry. However, policies such as compulsory licensing will only serve to

drive biotech investment away from Thailand.

The Thai Government’s defense of compulsory licenses for drugs that treat non-communicable

diseases (such as cancer, stroke, or myocardial infarction) is of concern, given that many of

BIO’s members’ research and development efforts target such chronic diseases. These policies

go well beyond the letter and spirit of the Doha Declaration, which was meant to provide a

mechanism for governments to deal with public health crises and impact the ability of

biotechnology research and development efforts to recoup their massive investments. These

extraordinary compulsory licensing measures should not be used systematically to facilitate

budgetary planning. BIO continues to believe that the most effective global solutions will result

from policies that respect and encourage innovation.

Regulatory Data Protection

Thailand also fails to provide meaningful protection for the pharmaceutical test data required to

prove safety and efficacy of new drug products. The implementing regulations for the Trade

Secrets Act provide a five-year term of protection for “maintenance of the trade secrets” of

pharmaceutical test data. However, the regulations do not appear to provide the data protection

against “unfair commercial use” in a manner consistent with Thailand’s obligations under Article

39.3 of the TRIPS Agreement. This protection is critical to biopharmaceutical companies and

their ability to successfully launch a product in a particular market.

Patent Linkage

Thailand also does not provide a formal system to prevent regulatory approval of generic

versions of pharmaceuticals that are still covered by a valid patent. The lack of such a “patent

linkage” mechanism facilitates patent infringement in the Thai market, leading to potential loss

of exclusivity for patented inventions in the biopharmaceuticals area and increased enforcement

costs. This is particularly harmful in the biotech sector as biotech drug development can cost a

billion dollars or more and can take more than a decade. Without assurance of recoupment of

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investment, and in these difficult economic times, biotechnology research and development will

diminish.

Our members report growth in availability of counterfeit pharmaceutical and other biotechnology

products in the Thai market. This trend is connected to a regional proliferation in the trade of

counterfeits, starting in Indonesia, Malaysia and the Philippines, but moving towards the territory

corridor of South East Asia. This raises a number of significant concerns and constitutes not

only a risk to the valuable intellectual property rights of BIO’s members, but a serious health risk

to the Thai public.

Pricing

Arbitrary and inconsistent pricing decision and discrimination of foreign companies in tenders

continue to hamper the investment climate in Thailand. Thai regulations require public hospitals

to purchase drugs and medical supplies from the state-owned Government Pharmaceutical

Organization (GPO), which utilizes a “Median Price or Maximum Procurement Price” (MPP)

system to set ceiling purchase prices for procurement. However, the arbitrary and inconsistent

calculation method utilized to determine the price ceilings not only create market distortions and

unfair price differentials that could adversely impact originators, but furthermore, such polices

have the potential to undermine patient access and the innovative environment in Thailand. The

U.S. biopharmaceutical industry has encouraged the Royal Thai Government to improve the

MPP mechanism in a manner that would reward innovative drugs and to enter into dialogue to

facilitate a resolution that would ensure transparency, predictability, and fairness in the market,

but, to date, there has been no meaningful opportunity for industry to participate or provide

input.

Turkey

BIO strongly supports the progress Turkey has made on improving the legal framework

particularly on the protection of intellectual property and on PIC/S membership. However, the

government’s continued delisting efforts to force local production of pharmaceuticals as well as

a host of additional issues are concerning and continue to weaken market conditions for BIO

members. BIO recommends that USTR place Turkey on the Priority Watch List.

Patentability

Industrial Property Law 6769 has been accepted by Turkish Parliament and was published in the

official gazette on January 10, 2017. The fourth section of the Law is dedicated to the protection

of the patent rights. The new Industrial Property Law is a significant step towards harmonizing

the national patent law with the provisions of the European Patent Convention (EPC). However,

certain areas, such as defining and ruling biotechnological inventions explicitly and

second/further medical use claims, are both not addressed by the law. As a member of the EPC,

Turkey should grant patents on such inventions. However, whether Turkey will enforce such

patents and protect them against third parties remains unclear.

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Compulsory Licenses

Another critical concern in the Industrial Property Law is related to its compulsory license

provisions. Article 130(2) of this law provides that “at the end of three years after publication of

a patent grant […] any interested party can request the issue of a compulsory license if at the date

of application [of the compulsory license] the following applies (i) The patented invention is not

being used or (ii) The level of current use does not satisfy domestic demand. The threshold for

assessing the use of an invention is not explicitly described. For instance, Article 132 of the IP

Law enables third parties to seek a compulsory license when relevant patents are used, but “the

use does not satisfy domestic market’s demand.” This provision is vague, subjective, creates

tremendous uncertainty for patent holders, and may be abused by competitor third parties. The

government refers to Article 5A paragraph 4 of the Paris Convention as a ground for this

provision. However, this paragraph in the Paris Convention does not refer to “satisfaction of

domestic market demand,” but to “insufficient use of the invention.” We believe “satisfaction of

national market demand” directly refers to a specific amount of provision of patented product to

the market and if this amount is not met, it will be possible to deem it as a ground for

compulsory license. On the other hand, the term of “insufficient use” does not refer to a pre-

determined specific amount.

Regulatory Data Protection

Data protection is undermined by regulatory delays in Turkey. Currently, regulatory approval

times exceed 850 days and will likely reach four years with the implementation of international

GMP standards in Turkey. The 6 years of guaranteed data protection is further undermined by

the fact that data protection begins when Marketing Authorization is first granted in any Customs

Union Member State, which includes the European Union. Thus, a large part of the 6 years have

lapsed before the drug is approved in Turkey. In addition, Turkish legislation indicates if a

product has a Turkish patent, the data exclusivity will end when the patent expires, even if this is

earlier than six years.

Non-Trade Barrier: Forced Localization

Another major non-trade barrier concerns “forced localization” practices in the pharmaceutical

sector. The Health Industry’s Localization Committee has taken a number of decisions on

‘localization’ pursuant to Action 46 of the 64th Government Action Plan-2016. This action is

part of the Structural Transformation of the Health Care Industry Program of the 10th

Development Plan (2014-2018) and it aims to “take new measures to promote local

pharmaceutical manufacturing and exporting of drugs which are compatible with international

regulatory standards”

The Turkish Medical Devices and Medicine Agency and Social Security Institution (TITCK) is

the lead on the localization decisions. In the first phase, imported products that have at least 3

locally manufactured equivalents with a +50% market share are due to be delisted in Q1 2018

unless they are locally produced. In the announced second phase, the threshold for market share

of locally manufactured equivalents is decreased to +10%, hence those imported products that

have at least 2 locally manufactured equivalents with a +10% market share are targeted to be

delisted if the companies selling them do not commit to produce these locally.

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Delisting of specified imported medicines from the reimbursement scheme on the grounds that

the importer company chooses not to produce it locally is discrimination against imported

products and considered a violation of international agreements to which Turkey is a party.

Market Access Barriers: GMP requirements, Pricing and Reimbursement

One of the issues in Turkey involves the requirement by the Ministry of Health to perform Good

Manufacturing Practices (GMP) inspection at every pharmaceutical production facility.

Although, TITCK allows parallel submission for prioritized applications, requirements still occur

for most of the products before the product registration application in Turkey, resulting in

significant registration delays for BIO companies. While the Ministry of Health does allow for

GMP certificates from other competent authorities, that acceptance is conditioned on other

countries recognizing Turkish GMP certification. Nonetheless, with Turkey’s recent accession to

PIC/S (Pharmaceutical Inspection Convention and Cooperation Scheme), which dictates

international GMP standards, Turkey should begin to recognize GMP certificates issued by any

of the current 52 PIC/S members. This positive development and further agreements with

countries are expected to overcome the GMP hurdle and improve regulatory timelines.

Although there have been significant improvements in the pricing environment, including

resolving the pricing freeze, regular price increases in line with changes in the foreign exchange

rate and no additional price cuts and discounts introduced since 2014, pricing still remains a

challenge for our members. Namely, the ongoing issue is around the reimbursement decision

criteria, which are not clearly defined, and involve a large amount of time to conclude the

process (on average 36 weeks).21 A newly implemented, yet poorly defined and nontransparent

alternative reimbursement process increases the uncertainty on top of existing challenges.

Orphan Drugs

Orphan drugs have not been thoroughly addressed by Turkish legislation. Collaborative studies

have been ongoing on draft “Orphan Drug Guideline.” Expediting the adoption and

implementation of an EU-compliant Orphan Drugs Regulation with the EU definition of rare

diseases would be of crucial importance to ensure Turkish citizens have faster access to new

medicines and Turkey to emerge as a globally-competitive economy in medical innovation.

WATCH LIST

Australia

BIO’s members continue to face unique IP challenges in Australia. BIO requests that the U.S.

Government monitor the situation and place Australia on the Watch List.

21 Association of Research Based Pharmaceutical Companies (AIFD) Market Access Survey, 2015

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Patent Damages Policies

Australia’s government is seeking significant litigation damages from companies that

legitimately seek to enforce their patent rights, putting Australia out of step with the rest of the

developed world regarding its treatment of intellectual property rights.

The government has intervened in at least seven patent infringement suits in Australia's Federal

Court, claiming damages from the innovator for alleged losses the government says it suffered as

a result of the delay of statutory price reductions under Australia's Pharmaceutical Benefits

Scheme (“PBS”). This derives from the delay in listing a generic drug on the PBS as a result of

the court granting the innovator a preliminary injunction to prevent infringement of its patent by

the generic drug, when the innovator was ultimately unsuccessful in that litigation. In the first

case where the government has intervened under this policy, the government is claiming more

than AUD 400 million in damages from the innovator.

The Australian government is, in effect, disregarding the critical and long-held distinction

between patent abuse cases and bona fide patent enforcement cases, that is, between cases where:

(1) an innovative biopharmaceutical company acts without good faith or vexatiously or

unreasonably by seeking to abuse its patent rights to prevent the entry of a generic onto the

market, on the one hand (“patent abuse cases”), and (2) the innovative biopharmaceutical

company acts in a bona fide and reasonable manner in seeking to act to enforce its patent to

prevent infringement, but ultimately loses the case, on the other (“bona fide patent cases”).

Moreover, the patent right that the innovator is seeking to enforce is one that is granted by the

Australian government and, it is the Australian government that defines the circumstances under

which price reductions under the PBS occur.

The Australian government's approach is inconsistent with the spirit and letter of Australia’s

international obligations relating to the protection of intellectual property rights. The Australian

regime does not meet these obligations because it deters bona fide and reasonable patent

enforcement by innovative biopharmaceutical companies through the use of litigation to pursue

government compensation claims or via threats to do the same. This approach is a major and

inappropriate shift in policy and practice by the Australian government.

Innovative biopharmaceutical companies should be able to commence bona fide patent cases

under the system set up by the government, in order to enforce patents examined and granted by

the government – including seeking preliminary injunctions – without the government later

seeking damages from the innovator in the event that the bona fide patent case is ultimately

unsuccessful.

Weakening of IP Rights

In 2016, the Australian Productivity Commission issued a report on Australia's IP arrangements,

making a number of recommendations which, if implemented, would have the practical effect of

weakening IP rights in Australia and which would lead to the deterioration of the innovative

climate in Australia. In 2017, the government launched a series of consultations seeking

feedback on certain recommendations. In November 2018, the Australian government published

its response to the consultation on inventive step, objects clause and crown use.

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More generally, the frequent reviews and inquiries initiated by the Australian government on IP

issues over the past decade or so have created an uncertain and unstable policy environment,

making it difficult for BIO's members to operate in an environment of legal certainty.

Lack of Regulatory Data Protection

Australia does not provide any regulatory data protection (RDP) relating to the registration

of new formulations, combinations, indications, populations or dosage forms of currently

registered therapeutic goods. Indeed, the absence of any such protection is in direct

contravention of Australia's obligations under art 17.10(2) of the U.S. – Australia Free Trade

Agreement (AUSFTA), which mandates that the Parties provide at least three years of RDP

protection from the date of marketing approval in circumstances where new clinical

information must be submitted to obtain regulatory approval of the relevant new therapeutic

good (other than information relating to bioequivalence).

Egypt

During 2018, BIO continued regular outreach to Egyptian officials, and notes the willingness of

government representatives to engage on policy issues affecting patients, the healthcare system

and the innovative life sciences and biopharmaceutical sector in Egypt. In recent years, Egypt

has taken some steps to enhance the environment for life science/biopharmaceutical companies

in particular. These steps include suspension of onerous pricing regulations, and reforms that

have accelerated new medicines reviews and decreased regulatory delays that inhibit patient

access to promising new medicines. There have also been instances of cooperation to prevent

patent infringement, and both the quality and frequency of consultation between industry

representatives and policy-makers/officials have greatly improved. There has been progress in

border enforcement and biosimilars regulation. Furthermore, BIO acknowledges recent progress

in dialogue with the government to address the gaps in Decree 499 and to find a path forward for

the pricing of new innovative products.

The challenge remains however that despite public statements of support for the sector and these

positive signals and some tangible progress, the government has continued to struggle to advance

policies into implementation and enforcement. Critical issues, such as patentability of certain

biotechnology innovations, patent linkage and regulatory data protection, have not been

resolved. In addition, BIO members have faced pricing challenges due to the devaluation of the

Egyptian Pound. Thus, BIO recommends the placement of Egypt on the Watch List.

Patentability

The Egyptian patent law prohibits patent protection for many valuable biotechnology

innovations. Inventions that strike at the core of the life sciences sector--in the subject matter

areas of organs, tissues, viable cells, natural biologic substances, and genome-- are expressly

excluded from patentability.

These are areas of subject matter that must be extended protection according to the obligations

contained in the TRIPS Agreement, provided the material in question is new, involves an

inventive step and is industrially applicable. While TRIPS Article 27.3 does recognize some

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permissible areas of exclusion from patentability, these provisions of the Egyptian patent law do

not fall within the permissible exclusions.

In addition, Egypt precludes the patenting of genetically-engineered plants and animals. In sum,

the Egyptian law precludes patenting of a wide range of basic commercial products and

processes in the biotechnology industry, discouraging both indigenous and international

investment in a sector where Egypt is well-positioned to compete and succeed.

Patent Linkage, Regulatory Data Protection

Egypt also does not provide patent linkage or regulatory data protection, and despite progress in

2017, the approval of new medicines continues in a not fully reformed, overly opaque system. At

least one BIO member reported that this negative IP environment has deterred further investment

and hiring additional employees in Egypt. BIO urges Egypt to adopt an effective patent linkage

system and to extend Regulatory Data Protection for at least 5 years.

Market Access Barriers

Following the liberalization of the foreign exchange rate in November 2016 and the subsequent

devaluation of the Egyptian Pound, BIO members suffered tremendous financial losses in Egypt

as prices of medicines are fixed. While the Egyptian government granted and implemented price

adjustments in January 2017, the second phase of price adjustments promised by the Egyptian

government for August 2017 have yet to be implemented. Such financial burdens have made it

difficult for BIO members to operate in the Egyptian market.

Due to these concerns, BIO requests that USTR continue to engage its Egyptian counterparts to

make improvements to patent protection in Egypt and to provide for the eventual adoption of a

fully TRIPS-compliant regime in that country.

European Union

BIO members’ concerns with the ongoing Incentives Review process aimed at weakening

Supplementary Protection Certificates (SPC) have been heightened in light of recent

developments. As such, BIO recommends USTR place the European Union on the Watch List.

While BIO is encouraged at prospects of US-EU FTA as an opportunity to address IP and market

access concerns, the proposed erosion of key IP rights in Europe, which up to now has been an

innovation leader with a strong IP system, raises significant concern.

SPC rights compensate innovators for lost standard patent term that results from costly and

lengthy development and regulatory approval timelines. As stated in the SPC Regulation,

“[m]edicinal products, especially those that are the result of long, costly research will not

continue to be developed in the Community and in Europe unless they are covered by favorable

rules that provide for sufficient protection to encourage such research.”22

22 Council (EC) Regulation No. 469/2009 of the European Parliament and of the Council of 6 May 2009 concerning the

supplementary protection certificate for medicinal products; see also Council Regulation (EEC) No. 1768/92 of 18 June 1992

concerning the creation of a supplementary protection certificate for medicinal products (no longer in force).

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SPCs currently provide right-holders the exclusive right to manufacture their approved products,

including for purposes of exportation. Being the sole producer and exporter of an IP protected

product from the EU market is one of the significant commercial activities through which patent

owners derive economic value from their inventions. This exclusive right helps to promote

investment in the research, development and production of new medicines in Europe for

domestic consumption and for sale abroad.23 The innovation-enhancing incentives of SPCs

would be significantly eroded if the EU export market for high-value innovative therapeutic

products were to be systematically distorted in favor of IP-infringing copycat products.

The proposed SPC manufacturing waiver is premised on contentions that it would “create

thousands of high-tech jobs in the EU and many new companies.” Belief that benefits will flow

from eroding SPC rights is based on an academic study by Vicente and Simões, published in the

Journal of Generic Medicines in 2014.24 In the article, the writers argue that adopting a

manufacturing waiver provision would result in substantial economic gains in the EU.25

The magnitude of those estimated benefits and the likelihood they will materialize has been

rebutted in publications that the Commission should consider.26 In addition, the benefits, if any,

are likely to be temporary and disproportionately affect the innovative biotechnology sector, as

they will result in part from exploitation of a transient technological advantage enjoyed by

European biosimilar producers. That advantage might for a short time allow EU biosimilar

makers to capture market share from EU biologics innovators during the SPC term. But as the

required technological capabilities spread globally to manufacturers in lower-cost regions the

advantage held by EU biosimilar manufacturers will erode. Furthermore, the current fragmented,

country-based EU enforcement regime, together with borderless nature of the EU’s Single

Market, would make it impossible to stop the entry onto the EU market of products made in the

EU subject to the manufacturing waiver. This would make the SPC regime effectively pointless.

Structural changes to the EU’s rights-based regime should not be made to exploit a potential

short-term advantage at the risk of longer-term economic gains. Apart from the questionable and

time-limited benefits postulated to flow from adopting the proposed manufacturing waiver, the

Commission should weigh the costs in possible job loss and economic harm in the EU to the

innovative biopharmaceutical sector that are predicted to result from this change. According to a

recent study, implementation of an EU-wide SPC manufacturing exemption could potentially

result in annual losses ranging between USD 1.34 billion to USD 2.27 billion to the European

innovative biopharmaceutical industry. These losses translate to estimated direct job loss of

23 European Union R&D Scoreboard, The 2016 EU Industrial R&D Investment Scoreboard, EUROPEAN COMMISSION (2016),

httpe://iri.jrc.ec.europa.edu/. 24 Vicente, V. and Simoes, S. (2014). “Manufacturing and export provisions: Impact on the competitiveness of European

pharmaceutical manufacturers and on the creation of jobsin Europe”, Journal of Generic Medicines, Vol. 11, Issue 1–2, 21

pp.35–47. 25 Id. at 35. 26 Sussell, J. A. et al. (2017). “Reconsidering the economic impact of the EU manufacturing and export provisions”, Journal of

Generic Medicines, Vol. 13, Issue 2, pp. 73–89.

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between 4,500-7,700 (with an additional 19,000-32,000 indirect job losses) and a decrease of

between EUR 215 million to EUR 364 million in R&D investment.27

These losses would be exacerbated if the intended scope of the proposed waiver is expanded.

BIO members are cautious about the recent proposed mandate from the European Parliament28

that not only endorses the ill-conceived waiver for export proposal (albeit with some critical

safeguards), but also would include expanding the proposal to include stockpiling for the

European market as well. This would be a significant departure from the existing proposal and

greatly exacerbate the concerns, including potential threat to American innovative companies

doing business in Europe, undermining the innovation ecosystem in Europe, and potential loss of

jobs in the innovative sector. The European Union itself criticized similar practices in Canada

when it brought (and won) a WTO dispute challenging similar stockpiling provisions during the

20-year term.29 Similarly, such a proposal would represent an expropriation of valuable patent

term in a manner inconsistent with global norms.

The current EU intellectual property rights-based incentives framework, including SPCs, has

fostered a robust ecosystem of innovation and generic competition within Europe. It protects

and encourages the substantial investments made by the EU and others in this transformative

technology. Adopting the proposal for a manufacturing waiver during the SPC term would

undermine the rights-based framework that has and is making new healthcare solutions available.

The EU should not alter its IP framework to facilitate exploitation of short-term technological

advantage. Consistent with the introduction of IP changes in other contexts, a prospective

approach to application would create the least negative impact.

Mexico

BIO recommends that Mexico be placed on the Watch List due to continued difficulty in

protecting and enforcing intellectual property rights.

Notwithstanding, BIO would like to reiterate its support of the USMCA and appreciates the

Administration’s efforts to prioritize biotechnology innovation, including provisions that update

intellectual property protections and agricultural market access to 21st century standards. Strong

and dependable intellectual property standards are critical to fueling innovation, attracting

investment, and ensuring that patients, farmers, and consumers around the globe have access to

the next generation of biotechnology breakthroughs. The USMCA represents an important step

in bringing Mexico and Canada closer to high U.S. standards that have made us the world leader

in biotechnology innovation. BIO is hopeful that in this context noticeable improvements will be

made in the IP environment in Mexico.

27 Pugatch, “Unintended Consequences” 2017 at 3, accessed at: http://www.pugatch-

consilium.com/reports/Unintended_Consequences_October_%202017.pdf. 28 Council of the European Union, Interinstitutional File 2018/0161(COD), accessed at:

https://www.consilium.europa.eu/register/en/content/out?&typ=ENTRY&i=ADV&DOC_ID=ST-5411-2019-INIT 29 Panel Report, Canada – Patent Protection of Pharmaceutical Products, WT/DS114/R, adopted 7 April 2000, DSR 2000:V, p.

2289

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Regulatory Data Protection

Mexico continues to inadequately implement its obligations relating to test data required by

regulatory agencies to obtain marketing approval for pharmaceuticals. Mexico has obligations

under TRIPS Article 39.3 to provide protection for pharmaceutical test data against “unfair

commercial use,” and under the North American Free Trade Agreement (NAFTA) Article 1711

section 6 to provide at least a five-year protection period after marketing approval against

reliance by subsequent applicants on the data supplied by the originator. Nevertheless, Mexico

still does not provide protection consistent with these obligations. The Industrial Property Law

states that Mexican law will implement requirements under its various international obligations.

However, we are not aware of any implementing regulations or practices that provide for a five-

year term of non-reliance consistent with Mexico’s international obligations.

Officials in the Mexican government have stated that they do not intend to extend data protection

to biological medicines. Such actions are contrary to Mexico’s obligations under NAFTA and

TRIPS. Again, BIO appreciates the Administration’s efforts to improve IP protections through

the USMCA.

Patent Infringement Adjudication

In addition, extensive periods of time pass before patent infringement cases are decided.

Companies report that IP enforcement cases proceed in two stages before the Mexican Patent

Office that can last 4-5 years. Two additional appeal stages then follow before a final decision is

made in the case. This problem is particularly acute as the possibility to recover damages is

delayed until after all appeals are exhausted.

Even then, innovators are not allowed to receive damages in court and must initiate a second

proceeding before a civil court to receive a damage award. While some may argue that

injunctions prevent this problem, the infringer can post bond without providing evidence of non-

infringement and have the injunction lifted and allow the infringing products to remain on the

market. This causes extensive delay that can last up to 10-12 years between initiation of

proceedings and recovery of damages. This process is extremely costly and inequitable to the

innovator.

Patent Linkage

Linkage between the regulatory agency and the patent office only covers patents with a

pharmaceutical active ingredient per se. Several court decisions have ordered the publication of

formulation and use patents to satisfy linkage requirements but the patent office refuses to

publish these patents without litigation and the regulatory agency has shown reluctance to

observe these patents. Normally, patents are only included in the linkage gazette when the

patentee requests it. The linkage system provides a process in which COFEPRIS (Mexican

Sanitary Regulatory Agency) consults the Mexican Patent Office on whether a specific generic

infringes on an existing patent.

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United Arab Emirates

The United Arab Emirates (UAE) has made great progress in recent years to provide an

increasingly competitive environment for investment in the biotechnology sector, exemplified by

a growing local innovative industry. Nevertheless, an issue of growing concern has emerged in

this otherwise promising country related to the protection of patents of innovative pharmaceutical

products based on the country of origin and the reciprocal patent recognition within the Gulf

Cooperation Council (GCC). BIO and its member companies are encouraged by a recent series of

IP workshops held in the UAE in an attempt ot resolve the issues, but as of this date the UAE has

not confirmed a concrete resolution of the challenges outlined below that would reassure investors

and companies operating in the innovative biopharmaceutical sector.

For these reasons, BIO recommends placing the UAE on the Watch List.

GCC Patent Recognition

While the UAE is required to recognize GCC patents as of the date they are filed, BIO member

companies are concerned by recent generic approvals in the UAE for patented products within

their GCC patent term. BIO requests written affirmation from the Ministry of Health and Ministry

of Economy that GCC patented products will be granted protection in the UAE.

Protection of Biopharmaceutical Patents Based on Country of Origin

The UAE made tremendous gains in IP since the issuance of Decree No. 404 on 30 April, 2000.

However, a recent issue seeks to reverse some of the developments from Decree No. 404. BIO

interprets Decree 404 as to provide marketing exclusivity to innovative products based on the

protection of regulatory data in the country of origin up until the expiration of the patent in the

country of origin. We appreciate that the UAE government itself in a letter to the US Embassy

in 2002 specifically said that Decree 404 provided IP rights through the end of a product’s COO

patent.

Nonetheless, in 2017, the UAE registered two generics of an innovative pharmaceutical product

still under patent protection in the UAE. In the case of BIO’s member company, the clear

violation of Decree 404 is a worrisome precedent which creates uncertainty for the products of

our member companies.

United Kingdom

BIO recommends placing the United Kingdom on the Watch List given unresolved market access

and pricing concerns for biotherapeutics and concerns over IP rights in the context of the UK’s

exit from the European Union. BIO would encourage the U.S. Government to continue to support

implementation of policies by the UK Government that support biopharmaceutical innovation and

market access. BIO and its members will continue to support the UK Government on developing

a policy environment supportive of the development of a robust life sciences sector.

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IP Protection and Brexit

Maintaining as much predictability and stability in the IP system during the uncertainty of Brexit

is of significant import to BIO membership. As the UK prepares to exit the European Union (EU),

BIO members expect continuity of IP rights obtained in the UK under EU law and that the UK

Government take measures to bring their IP framework, which is already one of the strongest in

the world, further in line with global practices and those of their European neighbors. One scenario

that presents concern to BIO members is in the event of a hard Brexit, i.e. one without a withdrawal

agreement, and the implications this may have on determining the start of data or market

exclusivity for biotherapeutics from date of authorization in the EU or UK, whichever is earlier.

The biopharmaceutical sector believes that in such a scenario regulatory data protection should

run from the date of UK marketing authorization. Similarly, Supplementary Protection Certificates

(SPCs), which convey the identical rights as those conveyed in the underlying patent, should run

from the date of UK marketing authorization.

Moreover, the UK should address those aspects of the current UK IP framework that are out of

step with global practices to ensure a thriving life science industry post-Brexit. For example,

ensuring that court or other determinations concerning inventiveness or novelty are based on

specific language claimed by a patent conferring rights in the UK is important to provide

confidence that IP rights can be appropriately enforced.

Market Access

Patient access to novel biotherapeutics continue to present challenges to the innovative

biopharmaceutical sector. National Health Technology Assessment (HTA) processes as well as

sub-national assessments aim to contain costs but creates an environment where UK patients are

less likely to have access to innovative drugs than patients living in other countries. The UK’s

National Institute for Health and Care Excellence (NICE) has a high rate of rejections based on

rigid and outdated cost effectiveness measures.

Current negotiations between the UK government and the Association of the British

Pharmaceutical Industry (ABPI) to renew the Pharmaceutical Price Regulation Scheme (PPRS) is

something that BIO’s broader membership, that are not represented by ABPI, will continue to

monitor to ensure that pricing policy solutions are balanced with on-going initiatives to help

support innovation in the global life sciences sector.

CONCLUSION

BIO appreciates the opportunity to comment on the intellectual property rights issues affecting

U.S. biotechnology companies abroad. We hope that our submission helps the efforts of the U.S.

Government in monitoring intellectual property rights internationally.